<?
// import data RESTITUSI PEGAWAI BAGIAN SATU
include("config.php");

$sql = "
SET IDENTITY_INSERT [MedicalRestitusiDetail] ON

/* Data for the `MedicalRestitusiDetail` table  (Records 12001 - 12500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12001, '49960404', '2002', '12001', '20021231', '20021219', 'Callista', 'Anak III', 'RS Mata', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12002, '17100561', '2002', '12002', '20021231', '20021231', '', 'Pegawai', 'drg Rinaldi', '811199', 153200, 153200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12003, '60950353', '2002', '12003', '20021231', '20021216', '', 'Anak II', 'RSIB', '811199', 150800, 150800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12004, '62920060', '2003', '12004', '20030113', '20021228', 'Osama', 'Anak II', 'dr Bulan', '811199', 92100, 92100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12005, '62920060', '2003', '12005', '20030113', '20021228', 'Osama Ladn Rayhan', 'Anak I', 'dr Sudigdo', '811199', 220700, 220700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12006, '60960384', '2003', '12006', '20030113', '20030108', '', 'Pegawai', 'Prof Agus', '811199', 181300, 181300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12007, '66970463', '2003', '12007', '20030113', '20030108', '', 'Pegawai', 'dr esnyoto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12008, '59021080', '2003', '12008', '20030113', '20030109', '', 'Isteri', 'dr Paliyadna', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12009, '59021080', '2003', '12009', '20030113', '20030110', '', 'Anak I', 'apt Trinitas', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12010, '66920063', '2002', '12010', '20021231', '20021224', 'Raysha', 'Anak I', 'RS Bunda', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12011, '66920063', '2002', '12011', '20021231', '20021224', 'Zhaky', 'Anak II', 'RS Bunda', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12012, '61920045', '2003', '12012', '20030113', '20030112', '', 'Anak I', 'dr Tutu & Apt', '811199', 254900, 254900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12013, '74950356', '2003', '12013', '20030113', '20030108', 'Thifal N.', 'Anak II', 'dr Afandi', '811199', 232825, 232825, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12014, '67960411', '2003', '12014', '20030113', '20030113', '', 'Pegawai', 'Klinik Husni', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12015, '67960411', '2003', '12015', '20030113', '20030113', 'Achmad Rizki Noversi', 'Anak I', 'RB Citra A.', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12016, '68960412', '2003', '12016', '20030113', '20021221', '', 'Pegawai', 'dr Jeane', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12017, '68960412', '2003', '12017', '20030113', '20030102', 'Lily April Juliana Simanjuntak', 'Isteri', 'drg Ratna', '811199', 15000, 15000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12018, '68960412', '2003', '12018', '20030113', '20021227', '', 'Pegawai', 'drg Ratna', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12019, '69021141', '2003', '12019', '20030113', '20030103', '', 'Anak I', 'dr Ellen', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12020, '69021141', '2003', '12020', '20030113', '20030110', '', 'Anak I', 'dr Ellen', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12021, '69021141', '2003', '12021', '20030113', '20030110', '', 'Isteri', 'dr Djoni', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12022, '69021141', '2003', '12022', '20030113', '20030110', '', 'Isteri', 'Apt RS Dharma', '811199', 87600, 87600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12023, '54099650', '2003', '12023', '20030113', '20030102', 'Aisyah Q.Turjanah', 'Isteri', 'dr Bambang', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12024, '54099650', '2003', '12024', '20030113', '20030102', 'Aisyah Q.Turjanah', 'Isteri', 'Apotik Nidea', '811199', 12000, 12000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12025, '54099650', '2003', '12025', '20030113', '20021208', 'Tantri Widiana Putri', 'Anak II', 'drn Ujiarto', '811199', 59000, 59000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12026, '54099650', '2003', '12026', '20030113', '20021224', 'Luthfi Khairawa Putra', 'Anak I', 'dr Ervina', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12027, '54099650', '2003', '12027', '20030113', '20021224', 'Nadia Mutiarani', 'Anak III', 'dr Ervina', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12028, '43950002', '2003', '12028', '20030113', '20030110', '', 'Pegawai', '', '811199', 4483517, 4483517, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12029, '68920053', '2002', '12029', '20021231', '20021227', 'Syahida Nurrahmah', 'Anak II', 'drg Dewi', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12030, '67920065', '2003', '12030', '20030113', '20021230', '', 'Pegawai', 'Satiti', '811199', 491700, 491700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12031, '68920053', '2003', '12031', '20030116', '20030103', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 124000, 124000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12032, '73099601', '2003', '12032', '20030116', '20030111', 'Nabilah', 'Anak I', 'RSHK', '811199', 64700, 64700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12033, '51030006', '2003', '12033', '20030116', '20030106', '', 'Pegawai', 'dr Indrajana', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12034, '51030006', '2003', '12034', '20030116', '20030106', '', 'Pegawai', 'Apt Panama', '811199', 573500, 573500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12035, '68960412', '2003', '12035', '20030116', '20030114', 'Lily April Juliana Simanjuntak', 'Isteri', 'drg Ratna', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12036, '68960412', '2003', '12036', '20030116', '20030114', '', 'Pegawai', 'drg Ratna', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12037, '67920049', '2003', '12037', '20030116', '20030104', 'Nabil', 'Anak I', 'dr Fuad', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12038, '67920049', '2003', '12038', '20030116', '20030108', '', 'Pegawai', 'RS Trimitra', '811199', 248500, 248500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12039, '70930144', '2003', '12039', '20030116', '20030102', '', 'Pegawai', 'dr Eddy & KF', '811199', 480400, 480400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12040, '70930144', '2003', '12040', '20030116', '20030105', 'Reyhan', 'Anak I', 'dr Surya', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12041, '73990662', '2003', '12041', '20030116', '20030106', '', 'Pegawai', 'dr Wibowo', '811199', 90700, 90700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12042, '68930133', '2003', '12042', '20030116', '20030114', '', 'Pegawai', 'Apt. Pela', '811199', 113500, 113500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12043, '77021068', '2003', '12043', '20030116', '20030114', '', 'Pegawai', 'RSPI', '811199', 60546, 60546, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12044, '67940157', '2003', '12044', '20030116', '20030109', '', 'Isteri', 'dr Ilham', '811199', 192300, 192300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12045, '67940157', '2003', '12045', '20030116', '20021219', '', 'Isteri', 'dr Mochtar', '811199', 39800, 39800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12046, '67940157', '2003', '12046', '20030116', '20030113', '', 'Isteri', 'dr Oetama', '811199', 205200, 205200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12047, '67940157', '2003', '12047', '20030116', '20021218', 'Aisha', 'Anak I', 'Prof Husein', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12048, '67940157', '2003', '12048', '20030116', '20021119', 'Dafa', 'Anak II', 'dr Mochtar', '811199', 40000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12049, '68960412', '2003', '12049', '20030116', '20030115', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 189275, 189275, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12050, '71950200', '2003', '12050', '20030116', '20030110', '', 'Pegawai', 'RS Medistra', '811199', 324640, 324640, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12051, '71970456', '2003', '12051', '20030116', '20030110', '', 'Pegawai', 'RS Medistra', '811199', 334300, 334300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12052, '69960413', '2003', '12052', '20030116', '20030113', '', 'Pegawai', 'dr Rani', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12053, '57920024', '2003', '12053', '20030116', '20030114', '', 'Anak I', 'RS Mitra', '811199', 644000, 644000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12054, '71960437', '2003', '12054', '20030116', '20030115', 'Rinawati', 'Isteri', 'RS Haji', '811199', 405400, 405400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12055, '75980556', '2003', '12055', '20030120', '20030116', '', 'Pegawai', 'drg Antonio', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12056, '69970477', '2003', '12056', '20030120', '20030115', '', 'Pegawai', 'RS Harapan', '811199', 310500, 310500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12057, '66970463', '2003', '12057', '20030120', '20030115', '', 'Pegawai', 'drg esnyoto', '811199', 436500, 436500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12058, '49920032', '2003', '12058', '20030120', '20030115', 'Suhandinata', 'Anak II', 'RS St Carolus', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12059, '73021081', '2003', '12059', '20030120', '20030106', 'Azizah Inas', 'Anak I', 'RS Panti', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12060, '78021059', '2003', '12060', '20030120', '20030115', '', 'Pegawai', 'RSK Dharmais', '811199', 510584, 510584, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12061, '59920056', '2003', '12061', '20030120', '20030117', 'Marsifatmi Iriani', 'Isteri', 'RS Kartika', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12062, '67960411', '2003', '12062', '20030120', '20030116', '', 'Pegawai', 'JMC', '811199', 81500, 81500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12063, '56920028', '2003', '12063', '20030120', '20030109', 'Sri Endang Susilowati', 'Isteri', 'RS Siaga Raya', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12064, '61950175', '2003', '12064', '20030120', '20030115', 'Farah Ramadhani Putri Wicaksana', 'Anak II', 'RS Hermina', '811199', 134000, 134000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12065, '67970469', '2003', '12065', '20030120', '20030113', 'Rafly Malik Sulaiman', 'Anak I', 'drg Gina', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12066, '67920089', '2003', '12066', '20030120', '20021206', 'Muhammad Ilham Kamil', 'Anak II', 'RS MMC', '811199', 200100, 200100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12067, '17100718', '2003', '12067', '20030120', '20020116', 'Marsya', 'Anak II', 'SOS Medika', '811199', 136437, 136437, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12068, '63970478', '2003', '12068', '20030123', '20030107', '', 'Pegawai', 'Dr Berhards', '811199', 349000, 349000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12069, '60950218', '2003', '12069', '20030123', '20030122', 'Anhas', 'Anak III', 'Apotik Pusaka', '811199', 64000, 64000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12070, '63990637', '2003', '12070', '20030123', '20030121', 'Abdul Hadi', 'Anak III', 'dr Syevia R', '811199', 137500, 137500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12071, '69940161', '2003', '12071', '20030123', '20030123', 'Ratnadya Thurfa', 'Anak I', 'dr Tin T', '811199', 84300, 84300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12072, '70000684', '2003', '12072', '20030123', '20030115', 'rizqi', 'Anak I', 'dr Gatami', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12073, '59920030', '2003', '12073', '20030123', '20030113', 'Abraham Auzan', 'Anak I', 'Kln Remedika', '811199', 1050700, 1050700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12074, '16800716', '2003', '12074', '20030123', '20030123', '', 'Pegawai', 'Apotik Melawai', '811199', 491500, 491500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12075, '66011023', '2003', '12075', '20030123', '20030115', 'monleen', 'Anak I', 'M Riza', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12076, '74021263', '2003', '12076', '20030123', '20030121', 'annisa', 'Anak I', 'dr Ismail', '811199', 77500, 77500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12077, '68920057', '2003', '12077', '20030123', '20030120', 'Rahman M.', 'Anak III', 'RSPC', '811199', 182000, 182000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12078, '71950212', '2003', '12078', '20030123', '20030117', '', 'Pegawai', 'Apotik Rini', '811199', 413000, 413000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12079, '69960396', '2003', '12079', '20030123', '20030118', 'Dhiwi Susanti', 'Isteri', 'Puri Medika', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12080, '72000707', '2003', '12080', '20030123', '20030121', '', 'Anak I', 'dr Amir', '811199', 254900, 254900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12081, '74970450', '2003', '12081', '20030123', '20030121', '', 'Pegawai', 'RS Mitra', '811199', 168100, 168100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12082, '70970487', '2003', '12082', '20030123', '20030121', '', 'Pegawai', 'Drg Ahandira', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12083, '69000669', '2003', '12083', '20030123', '20030110', '', 'Anak I', 'Rs Tria Dipa', '811199', 80800, 80800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12084, '74000702', '2003', '12084', '20030123', '20030109', '', 'Pegawai', 'RS MMC', '811199', 349700, 349700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12085, '68950221', '2003', '12085', '20030123', '20030122', '', 'Pegawai', 'dr Tjetjep', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12086, '68950221', '2003', '12086', '20030123', '20030122', '', 'Pegawai', 'drg Sri Suliswati', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12087, '66011023', '2003', '12087', '20030123', '20021230', '', 'Anak II', 'Chairil', '811199', 35000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12088, '66920106', '2003', '12088', '20030123', '20030118', '', 'Anak I', 'BP Fitrah', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12089, '66920106', '2003', '12089', '20030123', '20030113', 'Fitriani', 'Isteri', 'BP Fitrah', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12090, '72000696', '2003', '12090', '20030123', '20030114', 'Teti P.', 'Isteri', 'RS Haji', '811199', 62500, 62500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12091, '72000696', '2003', '12091', '20030123', '20030120', '', 'Anak I', 'RS Haji', '811199', 47900, 47900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12092, '69021086', '2003', '12092', '20030123', '20030120', '', 'Anak I', 'dr Handarmi', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12093, '69021086', '2003', '12093', '20030123', '20021230', '', 'Isteri', 'dr Asril', '811199', 110000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12094, '72950364', '2003', '12094', '20030123', '20030116', '', 'Pegawai', 'RS Tria Dipa', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12095, '70950177', '2003', '12095', '20030123', '20030117', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 160600, 160600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12096, '70950177', '2003', '12096', '20030123', '20030120', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 184900, 184900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12097, '66920029', '2003', '12097', '20030123', '20030107', 'Rian Rahman Yuntoharjo', 'Anak I', 'RSIB', '811199', 367900, 367900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12098, '66920026', '2003', '12098', '20030123', '20030114', '', 'Pegawai', 'RSIB', '811199', 151200, 151200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12099, '57990576', '2003', '12099', '20030123', '20030114', 'Sulastini', 'Isteri', 'RS Mitra Intrl', '811199', 543700, 543700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12100, '71980540', '2003', '12100', '20030123', '20030114', 'Indah Kusharyanti', 'Isteri', 'dr Budhy', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12101, '72099654', '2003', '12101', '20030123', '20021230', '', 'Isteri', 'Klinik Paramita', '811199', 117000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12102, '72099654', '2003', '12102', '20030123', '20030109', '', 'Pegawai', 'Aptk Anggrek', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12103, '66950355', '2003', '12103', '20030123', '20030114', '', 'Isteri', 'RSB Budi K', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12104, '68000752', '2003', '12104', '20030123', '20030118', 'Sri Siswanti SH', 'Isteri', 'Medico Farma', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12105, '63920052', '2003', '12105', '20030123', '20030117', '', 'Anak I', 'dr Suwarmo', '811199', 281700, 281700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12106, '59950195', '2003', '12106', '20030123', '20030117', '', 'Pegawai', 'RS Yadika', '811199', 844500, 844500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12107, '78031489', '2003', '12107', '20030123', '20021203', '', 'Pegawai', 'drg Rahmi', '811199', 250000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12108, '57930124', '2003', '12108', '20030123', '20030108', '', 'Anak I', 'RS Medistra', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12109, '60950218', '2003', '12109', '20030123', '20030117', 'Anhas', 'Anak III', 'dr Surastini', '811199', 68500, 68500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12110, '56920028', '2003', '12110', '20030123', '20030115', 'Sri Endang Susilowati', 'Isteri', 'RS Siaga', '811199', 239300, 239300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12111, '66950191', '2003', '12111', '20030123', '20030114', '', 'Anak I', 'RSPI', '811199', 285000, 285000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12112, '66950191', '2003', '12112', '20030123', '20030117', '', 'Anak I', 'RSPI', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12113, '66950191', '2003', '12113', '20030123', '20030112', '', 'Pegawai', 'RSPI', '811199', 147100, 147100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12114, '71990574', '2003', '12114', '20030121', '20030115', '', 'Pegawai', 'dr Hanindyo', '811199', 564600, 564600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12115, '74990649', '2003', '12115', '20030123', '20030115', '', 'Pegawai', 'dr Krisna', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12116, '74990649', '2003', '12116', '20030123', '20030121', '', 'Pegawai', 'Apt Bayu', '811199', 21000, 21000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12117, '67960411', '2003', '12117', '20030127', '20030123', 'Achmad Rizki Noversi', 'Anak I', 'RB Citra', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12118, '61920040', '2003', '12118', '20030127', '20030127', '', 'Pegawai', 'dr Waldemar', '811199', 231000, 231000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12119, '71980540', '2003', '12119', '20030127', '20030125', '', 'Pegawai', 'RS Bakti Yudha', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12120, '56950201', '2003', '12120', '20030127', '20030121', '', 'Pegawai', 'dr Yacob R', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12121, '67960411', '2003', '12121', '20030127', '20030124', '', '', 'JMC', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12122, '70970480', '2003', '12122', '20030127', '20030121', 'Rifqi', 'Anak I', 'RS MMC', '811199', 170700, 170700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12123, '69960413', '2003', '12123', '20030127', '20030118', '', 'Pegawai', 'drg Iesye', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12124, '66920106', '2003', '12124', '20030127', '20030126', 'Fitriani', 'Isteri', 'BP Fitrah', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12125, '67920049', '2003', '12125', '20030127', '20030116', '', 'Pegawai', 'dr M Fuad', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12126, '73000708', '2003', '12126', '20030127', '20030123', 'Dianty', 'Anak I', 'RS Puri Cinere', '811199', 133000, 133000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12127, '59920056', '2003', '12127', '20030127', '20030125', 'Marsifatmi Iriani', 'Isteri', 'RS Kartika', '811199', 225500, 225500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12128, '57980555', '2003', '12128', '20030127', '20030110', 'Rizki Savitri', 'Anak II', 'dr Endang P', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12129, '57980555', '2003', '12129', '20030127', '20030121', 'Enggar Parastri', 'Anak III', 'dr SA Sularsito', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12130, '64960394', '2003', '12130', '20030127', '20030119', '', 'Pegawai', 'dr Rudy A', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12131, '75010905', '2003', '12131', '20030127', '20030116', '', 'Pegawai', 'dr Subagyo', '811199', 190100, 190100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12132, '66010859', '2003', '12132', '20030127', '20030114', 'Maulida A.', 'Anak II', 'dr Rudy F', '811199', 84000, 84000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12133, '66010859', '2003', '12133', '20030127', '20030118', 'Anisya B.', 'Anak I', 'dr Santy S', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12134, '69970477', '2003', '12134', '20030127', '20030121', '', 'Pegawai', 'drg Gina', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12135, '58000807', '2003', '12135', '20030127', '20030116', 'Cintya', 'Anak III', 'dr Rivai', '811199', 59500, 59500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12136, '63970464', '2003', '12136', '20030127', '20030120', '', 'Pegawai', 'RS Patria', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12137, '16801865', '2003', '12137', '20030127', '20030125', 'Dzakiyya', 'Anak I', 'RSAB Mary', '811199', 52750, 52750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12138, '76011015', '2003', '12138', '20030127', '20030111', '', 'Pegawai', 'Klinik dr Pahry', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12139, '68960388', '2003', '12139', '20030127', '20030118', 'Indriani', 'Isteri', 'Bal. peng. wjy', '811199', 264000, 264000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12140, '77011035', '2003', '12140', '20030127', '20030119', '', 'Pegawai', 'RSAB HK', '811199', 388100, 388100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12141, '57920024', '2003', '12141', '20030127', '20030124', '', 'Anak I', 'RS Mitra', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12142, '57920024', '2003', '12142', '20030127', '20030113', '', 'Anak I', 'RS Mitra', '811199', 57000, 57000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12143, '66950191', '2003', '12143', '20030127', '20030120', '', 'Pegawai', 'RSPI', '811199', 225449, 225449, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12144, '43950002', '2003', '12144', '20030127', '20030127', '', 'Pegawai', '', '811199', 4175272, 4175272, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12145, '70000791', '2003', '12145', '20030130', '20030127', 'M. Khalif F.', 'Anak I', 'Yayasan Santi', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12146, '65920018', '2003', '12146', '20030130', '20030129', '', 'Pegawai', 'dr Himawan T', '811199', 103200, 103200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12147, '56920028', '2003', '12147', '20030130', '20030129', 'Sri Endang Susilowati', 'Isteri', 'RS Siaga', '811199', 191700, 191700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12148, '60960384', '2003', '12148', '20030130', '20030117', '', 'Pegawai', 'dr Agus F', '811199', 94500, 94500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12149, '67930149', '2003', '12149', '20030130', '20030127', '', 'Pegawai', 'dr Retno', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12150, '51030006', '2003', '12150', '20030130', '20030129', '', 'Isteri', 'Apk Cerme', '811199', 818600, 818600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12151, '67940157', '2003', '12151', '20030130', '20030125', '', 'Isteri', 'Rs Omni', '811199', 154719, 154719, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12152, '67940157', '2003', '12152', '20030130', '20030127', '', 'Isteri', 'Apk Pulo Asem', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12153, '67940157', '2003', '12153', '20030130', '20030128', '', '', 'Rs MMC', '811199', 216300, 216300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12154, '70000791', '2003', '12154', '20030130', '20030128', '', 'Pegawai', 'RS Haji', '811199', 532100, 532100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12155, '70000791', '2003', '12155', '20030130', '20030127', '', 'Anak II', 'dr M Wawan', '811199', 80300, 80300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12156, '73970451', '2003', '12156', '20030130', '20030129', '', 'Pegawai', 'drg Rusmala', '811199', 1210000, 1210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12157, '68950174', '2003', '12157', '20030130', '20030127', 'Irawati Syurman', 'Isteri', 'Rs Hermina', '811199', 89882, 89882, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12158, '63950202', '2003', '12158', '20030130', '20030130', '', 'Pegawai', 'KLinik Bukit', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12159, '66920064', '2003', '12159', '20030130', '20030128', '', 'Pegawai', 'drg Stefanus', '811199', 558700, 558700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12160, '71960437', '2003', '12160', '20030116', '20030111', 'Rinawati', 'Isteri', 'RS Haji', '811199', 202000, 202000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12161, '70000791', '2003', '12161', '20030116', '20030113', 'M. Khalif F.', 'Anak I', 'RS Haji', '811199', 653000, 653000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12162, '65000730', '2003', '12162', '20030116', '20030113', '', 'Pegawai', 'RS Boromeus', '811199', 91400, 91400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12163, '62910008', '2003', '12163', '20030116', '20030111', 'Naufal', 'Anak II', 'RSPI', '811199', 348000, 348000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12164, '62910008', '2003', '12164', '20030116', '20030111', 'Baldomero Shaquille Garcia', 'Anak I', 'Nusa Medika', '811199', 34000, 34000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12165, '62910008', '2003', '12165', '20030116', '20030103', '', 'Pegawai', 'Nusa Medika', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12166, '69970477', '2003', '12166', '20030116', '20030101', '', 'Pegawai', 'GMM', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12167, '69970477', '2003', '12167', '20030116', '20030108', '', 'Pegawai', 'drg Gina', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12168, '67920054', '2003', '12168', '20030116', '20030112', '', 'Pegawai', 'CGM', '811199', 197900, 197900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12169, '17700818', '2003', '12169', '20030116', '20030113', '', 'Pegawai', 'dr David', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12170, '74000725', '2003', '12170', '20030116', '20030114', '', 'Pegawai', 'JMC', '811199', 53900, 53900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12171, '76970457', '2003', '12171', '20030120', '20030115', '', 'Pegawai', 'dr.H.Suaidi', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12172, '63970464', '2003', '12172', '20030120', '20030117', '', 'Pegawai', 'RS Patria', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12173, '62970462', '2003', '12173', '20030120', '20030115', '', 'Pegawai', 'RS Mintoharjo', '811199', 149000, 149000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12174, '65920018', '2003', '12174', '20030120', '20030118', 'Aslha', 'Anak III', 'dr Rahmat', '811199', 137500, 137500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12175, '65920018', '2003', '12175', '20030120', '20030117', '', 'Pegawai', 'dr Sutarno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12176, '64960394', '2003', '12176', '20030120', '20030117', '', 'Pegawai', 'RS MMC', '811199', 796500, 796500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12177, '62920050', '2003', '12177', '20030120', '20030113', 'Ajeng Amaliah G', 'Anak I', 'dr Leopard', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12178, '62920050', '2003', '12178', '20030120', '20030113', 'M. Abrar Rafii', 'Anak II', 'dr Leopard', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12179, '57910014', '2003', '12179', '20030120', '20030113', '', 'Pegawai', 'dr Yacob', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12180, '65970472', '2003', '12180', '20030120', '20030117', '', 'Pegawai', 'RSAB Harapan', '811199', 277000, 277000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12181, '60950218', '2003', '12181', '20030120', '20030115', 'Anhas', 'Anak III', 'dr Surastini', '811199', 187000, 187000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12182, '65970482', '2003', '12182', '20030130', '20030128', '', 'Pegawai', 'dr Bambang', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12183, '66970463', '2003', '12183', '20030130', '20030128', '', 'Pegawai', 'dr Adi Asmono', '811199', 196500, 196500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12184, '72950205', '2003', '12184', '20030130', '20030127', '', 'Pegawai', 'Rs Tugu Ibu', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12185, '17501895', '2003', '12185', '20030130', '20030121', '', 'Anak I', 'KLinik Medika', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12186, '74950226', '2003', '12186', '20030130', NULL, 'Dewi Firchati', 'Isteri', 'dr Irwan', '811199', 82700, 82700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12187, '65920018', '2003', '12187', '20030130', '20030128', 'Irvansyah Firdaus', 'Anak II', 'dr Himawan', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12188, '65920018', '2003', '12188', '20030130', '20030128', 'Irvansyah Firdaus', 'Anak II', 'IMPHI', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12189, '71980551', '2003', '12189', '20030130', '20030114', '', 'Pegawai', 'Apk Bunderan', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12190, '65960408', '2003', '12190', '20030130', '20030125', '', 'Pegawai', 'dr Meri S', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12191, '65920033', '2003', '12191', '20030130', '20030124', 'Fiqih Ramadhan', 'Anak II', 'dr Azwir', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12192, '70950199', '2003', '12192', '20030130', '20030129', '', 'Pegawai', 'dr Widayanto', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12193, '71990647', '2003', '12193', '20030130', '20021223', 'Ramandhani', 'Anak I', 'Pol HR Kita', '811199', 110000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12194, '71990647', '2003', '12194', '20030130', '20021223', 'Salma', 'Anak II', 'Pol HR Kita', '811199', 70000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12195, '71990647', '2003', '12195', '20030130', '20030113', 'Yanti Sinaga', 'Isteri', 'Pol HR Kita', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12196, '71990647', '2003', '12196', '20030130', '20030122', 'Yanti Sinaga', 'Isteri', 'Pol HR KIta', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12197, '71960437', '2003', '12197', '20030130', '20030125', 'Nadya Agustina', 'Anak I', 'Klinik Anakku', '811199', 660000, 660000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12198, '70970480', '2003', '12198', '20030203', '20030130', 'Rifqi', 'Anak I', 'RSIA Mary', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12199, '69970477', '2003', '12199', '20030203', '20030130', '', 'Pegawai', 'Klinik Limus', '811199', 49500, 49500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12200, '70010898', '2003', '12200', '20030203', '20030128', '', 'Pegawai', 'Klinik Medika', '811199', 251200, 251200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12201, '68960412', '2003', '12201', '20030203', '20030129', 'Lily April Juliana Simanjuntak', 'Isteri', 'drg Hermawan', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12202, '63970478', '2003', '12202', '20030203', '20030202', '', 'Pegawai', 'RSB S Husada', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12203, '66950191', '2003', '12203', '20030203', '20030129', '', 'Pegawai', 'RSPI', '811199', 242604, 242604, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12204, '72950223', '2003', '12204', '20030203', '20030128', '', 'Pegawai', 'dr As''at H', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12205, '72000696', '2003', '12205', '20030203', '20030131', 'Teti P.', 'Isteri', 'RS Haji', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12206, '65920048', '2003', '12206', '20030203', '20030130', '', 'Pegawai', 'Klinik Adi', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12207, '68950221', '2003', '12207', '20030203', '20030131', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 86500, 86500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12208, '71950367', '2003', '12208', '20030203', '20030127', 'Astina Dahlia M.', 'Isteri', 'dr Binoto S', '811199', 421700, 421700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12209, '71980506', '2003', '12209', '20030203', '20030131', '', 'Pegawai', 'dr Nugroho', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12210, '70950204', '2003', '12210', '20030203', '20030128', '', 'Pegawai', 'dr Denny', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12211, '57910014', '2003', '12211', '20030203', '20030130', '', 'Pegawai', 'dr Yacob', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12212, '61930128', '2003', '12212', '20030203', '20030129', 'R. Raditya M.L', 'Anak I', 'Klinik Mitra', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12213, '60920041', '2003', '12213', '20030203', '20030128', 'Dewi Handayani', 'Isteri', 'dr Nanang', '811199', 678000, 678000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12214, '69960413', '2003', '12214', '20030203', '20030125', '', 'Pegawai', 'dr Fahry', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12215, '77000793', '2003', '12215', '20030203', '20030201', '', 'Pegawai', 'dr Fahri', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12216, '43950002', '2003', '12216', '20030203', '20030201', '', 'Pegawai', '', '811199', 951500, 951500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12217, '65920018', '2003', '12217', '20030203', '20030202', 'Aslha', 'Anak III', 'IMPHI', '811199', 75800, 75800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12218, '50950207', '2003', '12218', '20030203', '20030128', '', 'Pegawai', 'Klinik Fatmah', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12219, '53920027', '2003', '12219', '20030203', '20030128', 'Reza', 'Anak I', 'dr Indira', '811199', 96200, 96200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12220, '49920032', '2003', '12220', '20030203', '20030127', '', 'Pegawai', 'RS St Carolus', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12221, '73970451', '2003', '12221', '20030203', '20030131', '', 'Pegawai', 'dr Nunung', '811199', 700300, 700300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12222, '61920045', '2003', '12222', '20030203', '20021216', '', 'Pegawai', 'dr Bambang', '811199', 50000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12223, '61920045', '2003', '12223', '20030203', '20030122', 'Sutirma J.Rosalina', 'Isteri', 'dr T Tutu', '811199', 262300, 262300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12224, '65980552', '2003', '12224', '20030203', '20030120', 'Frida Andriani', 'Isteri', 'drg Jenny', '811199', 1104000, 1104000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12225, '65950169', '2003', '12225', '20030206', '20030205', '', 'Anak I', 'Prof Moeslichan', '811199', 625000, 625000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12226, '73021088', '2003', '12226', '20030206', '20030128', '', 'Isteri', 'dr Flori', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12227, '73970451', '2003', '12227', '20030206', '20030206', '', 'Pegawai', 'drg Nunung', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12228, '66920074', '2003', '12228', '20030206', '20030131', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12229, '70950199', '2003', '12229', '20030206', '20030205', '', 'Pegawai', 'dr Widayanto', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12230, '17101947', '2003', '12230', '20030206', '20030131', '', 'Pegawai', 'dr Himawan', '811199', 164700, 164700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12231, '68960412', '2003', '12231', '20030206', '20030130', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 596000, 596000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12232, '71960398', '2003', '12232', '20030206', '20030204', '', 'Isteri', 'RS Graha M', '811199', 259450, 259450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12233, '73021253', '2003', '12233', '20030206', '20030204', '', 'Pegawai', 'JMC', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12234, '61950175', '2003', '12234', '20030206', '20030205', 'Novana Nisrina W', 'Anak I', 'RS Hermina', '811199', 131000, 131000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12235, '63970476', '2003', '12235', '20030206', '20030128', '', 'Pegawai', 'drg Abdullah', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12236, '65930143', '2003', '12236', '20030206', '20030117', '', 'Pegawai', 'RS Medistra', '811199', 438800, 438800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12237, '57910014', '2003', '12237', '20030206', '20030205', 'Arief Rahman', 'Anak II', 'dr Yacob', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12238, '71980540', '2003', '12238', '20030206', '20030203', 'Indah Kusharyanti', 'Isteri', 'dr Kemal', '811199', 191000, 191000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12239, '66980545', '2003', '12239', '20030206', '20030131', '', 'Anak I', 'dr Andreas', '811199', 80500, 80500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12240, '67940157', '2003', '12240', '20030206', '20030131', '', 'Isteri', 'Apk Pulo Asem', '811199', 296600, 296600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12241, '72950364', '2003', '12241', '20030206', '20030131', '', 'Pegawai', 'RS Tria Dipa', '811199', 202500, 202500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12242, '65920039', '2003', '12242', '20030206', '20030110', 'Wiwin W,AMK', 'Isteri', 'dr Djoko', '811199', 134300, 134300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12243, '73000708', '2003', '12243', '20030206', '20030203', 'Rani Avianti', 'Isteri', 'RS Puri Cinere', '811199', 214500, 214500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12244, '17702001', '2003', '12244', '20030206', '20030125', '', 'Pegawai', 'Apk Kimia', '811199', 103600, 103600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12245, '62920050', '2003', '12245', '20030206', '20030204', 'M. Abrar Rafii', 'Anak II', 'dr Leopard', '811199', 124200, 124200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12246, '16801865', '2003', '12246', '20030206', '20030129', '', 'Anak I', 'RSAB Mary', '811199', 103650, 103650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12247, '65960379', '2003', '12247', '20030206', '20030125', 'Muhammad Kemal Ramadhan', 'Anak I', 'Apk Neglasari', '811199', 108500, 108500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12248, '67950168', '2003', '12248', '20030206', '20030204', '', 'Pegawai', 'Prof Ali S', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12249, '65920033', '2003', '12249', '20030206', '20030204', 'Fiqih Ramadhan', 'Anak II', 'dr Azwir', '811199', 187200, 187200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12250, '17700818', '2003', '12250', '20030214', '20030207', '', 'Pegawai', 'dr Sabana', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12251, '69950209', '2003', '12251', '20030214', '20030211', 'Neneng Lutvia', 'Isteri', 'RS Mitra Int', '811199', 339100, 339100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12252, '77000672', '2003', '12252', '20030214', '20030207', '', 'Pegawai', 'RS Siloam', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12253, '70950214', '2003', '12253', '20030214', '20030209', '', 'Anak I', 'dr M Dawam', '811199', 146200, 146200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12254, '69950209', '2003', '12254', '20030214', '20030204', 'Neneng Lutvia', 'Isteri', 'dr Sonny S', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12255, '68950221', '2003', '12255', '20030214', '20030211', 'Nurseha', 'Isteri', 'Yay Bakti Asih', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12256, '62910013', '2003', '12256', '20030214', '20030210', '', 'Anak I', 'dr Azwin', '811199', 81200, 81200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12257, '63970478', '2003', '12257', '20030214', '20030208', '', 'Pegawai', 'Klinik Satiti', '811199', 211000, 211000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12258, '62920017', '2003', '12258', '20030214', '20030209', 'Hadidjah Sansono', 'Isteri', 'dr Walinton', '811199', 176000, 176000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12259, '63910010', '2003', '12259', '20030214', '20030208', 'Muhammad Nabil Abdullah Nasution', 'Anak I', 'dr Azwir', '811199', 253600, 253600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12260, '72950364', '2003', '12260', '20030214', '20030210', '', 'Pegawai', 'RS Tria Dipa', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12261, '74950226', '2003', '12261', '20030214', '20030210', 'Dewi Firchati', 'Isteri', 'dr Tan Gek Soan', '811199', 413350, 413350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12262, '65950169', '2003', '12262', '20030214', '20030208', '', 'Anak I', 'RS Hermina', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12263, '70980554', '2003', '12263', '20030214', '20030205', '', 'Pegawai', 'RS Tebet', '811199', 335200, 335200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12264, '16800716', '2003', '12264', '20030214', '20030207', '', 'Isteri', 'Klinik Retna', '811199', 93500, 93500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12265, '71990647', '2003', '12265', '20030214', '20030206', 'Yanti Sinaga', 'Isteri', 'Pol HR Kita', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12266, '50950207', '2003', '12266', '20030214', '20030205', 'Ira Maya S', 'Anak III', 'dr Sony', '811199', 145500, 145500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12267, '17300785', '2003', '12267', '20030228', '20030220', '', 'Pegawai', 'dr Aziz D', '811199', 149000, 149000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12268, '43950002', '2003', '12268', '20030214', '20030208', '', 'Pegawai', '', '811199', 1165500, 1165500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12269, '70950204', '2003', '12269', '20030214', '20030209', 'Rustini', 'Isteri', 'Klinik Cipadu', '811199', 36000, 36000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12270, '65970482', '2003', '12270', '20030214', '20030210', '', 'Pegawai', 'dr Bambang', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12271, '59920104', '2003', '12271', '20030214', '20030207', '', 'Pegawai', 'RS JEC', '811199', 399000, 399000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12272, '69021141', '2003', '12272', '20030214', '20030207', '', 'Anak I', 'dr Ellen', '811199', 335500, 335500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12273, '73960391', '2003', '12273', '20030214', '20030116', 'Reynard', 'Anak I', 'RSB YPK', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12274, '72950363', '2003', '12274', '20030214', '20030211', '', 'Pegawai', 'RSB YPK', '811199', 375100, 375100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12275, '78021416', '2003', '12275', '20030203', '20030128', '', 'Pegawai', 'Klinik Siaga', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12276, '66920063', '2003', '12276', '20030218', '20030127', 'Zaki', 'Anak II', 'dr Fx Marseno', '811199', 221000, 221000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12277, '57930124', '2003', '12277', '20030218', '20030208', '', 'Pegawai', 'RS Panti Rhja', '811199', 562750, 562750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12278, '68920053', '2003', '12278', '20030218', '20030125', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12279, '73000708', '2003', '12279', '20030218', '20030210', 'Rani Avianti', 'Isteri', 'RS Puri Cinere', '811199', 306700, 306700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12280, '74970450', '2003', '12280', '20030218', '20030206', '', 'Pegawai', 'RS Mitra', '811199', 193300, 193300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12281, '62920060', '2003', '12281', '20030218', '20030203', 'Osama Ladn Rayhan', 'Anak I', 'drg Elizabeth', '811199', 428000, 428000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12282, '66920106', '2003', '12282', '20030218', '20030206', '', 'Pegawai', 'drg Stefanus', '811199', 700000, 700000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12283, '67920049', '2003', '12283', '20030218', '20030213', 'Anissa', 'Anak II', 'dr M Fuad', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12284, '68920053', '2003', '12284', '20030218', '20030211', 'Janti Susanti', 'Isteri', 'RS Hermina', '811199', 292000, 292000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12285, '63950190', '2003', '12285', '20030218', '20030210', 'Grace Agustina', 'Isteri', 'dr Eva Y', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12286, '68000760', '2003', '12286', '20030218', '20030213', 'Nurul Hidayati', 'Isteri', 'dr Retno', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12287, '70970480', '2003', '12287', '20030218', '20030208', '', 'Anak I', 'dr K Firman', '811199', 177600, 177600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12288, '66980545', '2003', '12288', '20030218', '20030213', 'Rika Waisulkarni', 'Isteri', 'dr Ichram', '811199', 228450, 228450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12289, '67950172', '2003', '12289', '20030218', '20030214', '', 'Pegawai', 'dr Jimmy', '811199', 309000, 309000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12290, '71980540', '2003', '12290', '20030218', '20030210', 'Indah Kusharyanti', 'Isteri', 'RS MMC', '811199', 584100, 584100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12291, '70990648', '2003', '12291', '20030218', '20030211', 'Faizah Rahmah Izzatudini', 'Anak I', 'dr Uun K', '811199', 314995, 314995, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12292, '74000702', '2003', '12292', '20030218', '20030210', '', 'Pegawai', 'RS Mitra', '811199', 1190400, 1190400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12293, '66970463', '2003', '12293', '20030218', '20030210', '', 'Pegawai', 'drg esnyoto', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12294, '67970469', '2003', '12294', '20030218', '20030213', 'Rafly Malik Sulaiman', 'Anak I', 'drg Gina', '811199', 249000, 249000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12295, '64010984', '2003', '12295', '20030218', '20030211', '', 'Isteri', 'dr Irwan', '811199', 108000, 108000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12296, '65010987', '2003', '12296', '20030218', '20030207', '', 'Anak I', 'drg Riza R', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12297, '67930149', '2003', '12297', '20030218', '20030207', '', 'Pegawai', 'RS Medistra', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12298, '71960437', '2003', '12298', '20030218', '20030130', 'M. Farhan', 'Anak II', 'Bunda Auni II', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12299, '72000794', '2003', '12299', '20030218', '20030214', '', 'Anak I', 'dr Abu Purwanto', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12300, '72000794', '2003', '12300', '20030218', '20030206', '', 'Anak I', 'dr Abu Purnawan', '811199', 241000, 241000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12301, '78021059', '2003', '12301', '20030218', '20030213', '', 'Pegawai', 'RSK Dharmais', '811199', 371800, 371800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12302, '68950371', '2003', '12302', '20030218', '20030215', 'Anggraini', 'Isteri', 'RS Medistra', '811199', 246800, 246800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12303, '62920050', '2003', '12303', '20030218', '20030214', 'M. Abrar Rafii', 'Anak II', 'dr Leopard', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12304, '16701946', '2003', '12304', '20030218', '20030211', '', 'Anak I', 'dr Wiranto', '811199', 146500, 146500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12305, '67950203', '2003', '12305', '20030218', '20030211', 'Rifqi Nabil Muhammad', 'Anak I', 'RSIB', '811199', 329700, 329700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12306, '43950002', '2003', '12306', '20030218', '20030216', '', 'Pegawai', '', '811199', 2068400, 2068400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12307, '69950222', '2003', '12307', '20030218', '20030131', '', 'Anak I', 'RS Saint Carolus', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12308, '57930146', '2003', '12308', '20030218', '20030217', '', 'Pegawai', 'RS Medistra', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12309, '27400906', '2003', '12309', '20030218', '20030131', '', 'Anak I', 'dr H Zainal', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12310, '72021108', '2003', '12310', '20030218', '20030213', '', 'Anak I', 'dr Sri Susanti', '811199', 141900, 141900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12311, '63950202', '2003', '12311', '20030218', '20030209', 'Habapusilah', 'Isteri', 'KLinik Mitra', '811199', 83000, 83000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12312, '66920073', '2003', '12312', '20030218', '20030202', '', 'Anak I', 'KLinik Limus', '811199', 41000, 41000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12313, '67920054', '2003', '12313', '20030218', '20030214', '', 'Anak II', 'RSCM', '811199', 138900, 138900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12314, '70980570', '2003', '12314', '20030218', '20030207', 'Nabil', 'Anak I', 'RS Haji', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12315, '69960413', '2003', '12315', '20030218', '20030215', '', 'Pegawai', 'dr Rani', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12316, '61920069', '2003', '12316', '20030218', '20030216', 'Mochamad Arga Wirayudha', 'Anak II', 'RS Sama Farma', '811199', 364350, 364350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12317, '74970450', '2003', '12317', '20030221', '20030217', '', 'Pegawai', 'drg Irawati', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12318, '76980517', '2003', '12318', '20030221', '20030213', 'Fathya A.W.', 'Anak I', 'RS Puri Cinere', '811199', 189000, 189000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12319, '70980554', '2003', '12319', '20030221', '20030217', '', 'Anak I', 'Klinik Denta Medika', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12320, '59920104', '2003', '12320', '20030221', '20030219', '', 'Pegawai', 'RS Mitra', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12321, '72021050', '2003', '12321', '20030221', '20030203', '', 'Pegawai', 'RS Medistra', '811199', 276100, 276100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12322, '65920018', '2003', '12322', '20030221', '20030218', 'Aslha', 'Anak III', 'RS Mitra', '811199', 247500, 247500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12323, '64920046', '2003', '12323', '20030221', '20030217', '', 'Pegawai', 'drg Sri', '811199', 65250, 65250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12324, '17098565', '2003', '12324', '20030221', '20030208', '', 'Isteri', 'RS Hermina', '811199', 674640, 674640, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12325, '43950002', '2003', '12325', '20030218', '20030220', '', 'Pegawai', '', '811199', 1944000, 1944000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12326, '78021059', '2003', '12326', '20030221', '20030219', '', 'Pegawai', 'RSK Dharmais', '811199', 711700, 418200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12327, '72950205', '2003', '12327', '20030221', '20030219', '', 'Pegawai', 'Rs Tugu Ibu', '811199', 46100, 46100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12328, '63990637', '2003', '12328', '20030221', '20030217', 'Hakimah Masfiah', 'Isteri', 'RS Budi Jaya', '811199', 318000, 318000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12329, '70930144', '2003', '12329', '20030218', '20030210', '', 'Pegawai', 'dr Eva', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12330, '65960379', '2003', '12330', '20030221', '20030218', 'Muhammad Kemal Ramadhan', 'Anak I', 'Apk Neglasari', '811199', 108500, 108500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12331, '68970466', '2003', '12331', '20030221', '20030215', '', 'Pegawai', 'Klinik Yudia', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12332, '69000669', '2003', '12332', '20030221', '20030219', '', 'Anak I', 'Rs Tria Dipa', '811199', 107900, 107900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12333, '72000763', '2003', '12333', '20030203', '20030129', '', 'Pegawai', 'Klinik MMC', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12334, '63000711', '2003', '12334', '20030203', '20030121', 'M.Farras Hanif', 'Anak II', 'dr Rita', '811199', 141800, 141800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12335, '60930116', '2003', '12335', '20030203', '20030128', 'Rios', 'Anak I', 'dr eis Dental', '811199', 422750, 422750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12336, '75010905', '2003', '12336', '20030203', '20030119', '', 'Pegawai', 'drg Budiharto', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12337, '71990647', '2003', '12337', '20030203', '20030122', 'Salma', 'Anak II', 'Pol HR Kita', '811199', 395500, 395500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12338, '62920060', '2003', '12338', '20030203', '20030129', 'Mulla', 'Anak III', 'dr Sudigdo', '811199', 206068, 206068, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12339, '68960388', '2003', '12339', '20030130', '20030129', 'Indriani', 'Isteri', 'bal. peng. wiy', '811199', 243000, 243000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12340, '71950200', '2003', '12340', '20030206', '20030129', '', 'Pegawai', 'drg Julianti M', '811199', 537000, 537000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12341, '60920075', '2003', '12341', '20030206', '20030129', 'Tatag Abiyoso Utomo', 'Anak I', 'dr Tadjudin T', '811199', 816200, 816200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12342, '66920073', '2003', '12342', '20030206', '20030127', '', 'Anak I', 'dr M Ghazali', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12343, '69000687', '2003', '12343', '20030206', '20030203', '', 'Pegawai', 'RSIB', '811199', 310900, 310900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12344, '17501895', '2003', '12344', '20030206', '20030130', '', 'Pegawai', 'Med Sampurna', '811199', 56500, 56500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12345, '65980552', '2003', '12345', '20030206', '20030204', 'Frida Andriani', 'Isteri', 'drg Jenny', '811199', 703900, 703900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12346, '67950213', '2003', '12346', '20030206', '20030204', '', 'Anak I', 'drg Silvy', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12347, '61920040', '2003', '12347', '20030206', '20030206', 'Ilham Idris Ardiansyah Pulungan', 'Anak II', 'dr Leopold', '811199', 192100, 192100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12348, '63910010', '2003', '12348', '20030206', '20030205', 'Erna Deliana', 'Isteri', 'dr Titi Moertolo', '811199', 394000, 394000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12349, '70950204', '2003', '12349', '20030206', '20030206', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 107200, 107200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12350, '70950214', '2003', '12350', '20030206', '20030205', '', 'Anak I', 'dr Moh Dawasa', '811199', 121300, 121300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12351, '65940151', '2003', '12351', '20030206', '20030125', '', 'Anak I', 'Klinik Bunda', '811199', 80100, 80100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12352, '56920028', '2003', '12352', '20030206', '20030205', 'Sri Endang Susilowati', 'Isteri', 'Aptk Kramat', '811199', 248000, 248000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12353, '57990576', '2003', '12353', '20030206', '20030128', 'Sulastini', 'Isteri', 'RS Mitra Intrl', '811199', 517200, 517200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12354, '73021081', '2003', '12354', '20030221', '20030121', '', 'Anak I', 'Apk Kolombo', '811199', 188850, 188850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12355, '17300761', '2003', '12355', '20030221', '20030213', '', 'Pegawai', 'Apk Sigarindo', '811199', 208800, 208800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12356, '77000672', '2003', '12356', '20030221', '20030210', '', 'Pegawai', 'RS Siloam', '811199', 216950, 216950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12357, '76970457', '2003', '12357', '20030221', '20030215', '', 'Pegawai', 'dr H M Suaidi', '811199', 104000, 104000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12358, '71960437', '2003', '12358', '20030218', '20030214', 'Rinawati', 'Isteri', 'RS Haji', '811199', 246900, 246900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12359, '71940159', '2003', '12359', '20030221', '20030218', '', 'Pegawai', 'dr Eva', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12360, '66970495', '2003', '12360', '20030221', '20030215', '', 'Anak I', 'dr Soeprapto', '811199', 357040, 357040, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12361, '68960412', '2003', '12361', '20030225', '20030223', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 233000, 233000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12362, '54099650', '2003', '12362', '20030225', '20030203', 'Luthfi Khairawa Putra', 'Anak I', 'drg Gatot S', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12363, '65980564', '2003', '12363', '20030225', '20030222', 'Bagas Juwono Priambodo', 'Anak II', 'RS Hermina', '811199', 363140, 363140, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12364, '27400906', '2003', '12364', '20030225', '20030221', '', 'Anak I', 'dr H Zainal', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12365, '72099654', '2003', '12365', '20030225', '20030215', '', 'Isteri', 'Aptk Agung F', '811199', 156750, 156750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12366, '61930128', '2003', '12366', '20030225', '20030220', 'A. Retno M', 'Isteri', 'dr Karno S', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12367, '70970480', '2003', '12367', '20030225', '20030220', '', 'Anak I', 'Aptk Duta M', '811199', 38500, 38500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12368, '76980539', '2003', '12368', '20030225', '20030217', '', 'Pegawai', 'RS JMC', '811199', 78600, 78600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12369, '66000735', '2003', '12369', '20030225', '20030218', '', 'Pegawai', 'RS Tumbuh K', '811199', 114400, 114400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12370, '68000760', '2003', '12370', '20030225', '20030217', 'Nurul Hidayati', 'Isteri', 'dr Retno', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12371, '72950363', '2003', '12371', '20030225', '20030219', '', 'Pegawai', 'RS Medistra', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12372, '68950221', '2003', '12372', '20030225', '20030222', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 132990, 132990, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12373, '67950203', '2003', '12373', '20030225', '20030222', '', 'Pegawai', 'Klinik Syarif', '811199', 146200, 146200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12374, '66920074', '2003', '12374', '20030225', '20030213', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12375, '65970482', '2003', '12375', '20030225', '20030222', '', 'Pegawai', 'dr Bambang', '811199', 46000, 46000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12376, '67970469', '2003', '12376', '20030225', '20030221', '', 'Pegawai', 'Klinik Triaz', '811199', 239100, 239100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12377, '63970476', '2003', '12377', '20030225', '20030207', '', 'Pegawai', 'drg Abdullah', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12378, '74000719', '2003', '12378', '20030225', '20030222', '', 'Pegawai', 'Klinik Limus', '811199', 64000, 64000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12379, '43950002', '2003', '12379', '20030218', '20030222', '', 'Pegawai', '', '811199', 2316400, 2316400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12380, '73000708', '2003', '12380', '20030225', '20030222', 'Rani Avianti', 'Isteri', 'RS Puri Cinere', '811199', 682100, 682100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12381, '76021082', '2003', '12381', '20030225', '20030210', '', 'Pegawai', 'dr Ahmad', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12382, '66920067', '2003', '12382', '20030225', '20030224', '', 'Anak I', 'dr H M Ahmad', '811199', 178900, 178900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12383, '72000696', '2003', '12383', '20030225', '20030215', '', 'Anak I', 'RS Hermina', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12384, '62920060', '2003', '12384', '20030225', '20030220', 'Osama Ladn Rayhan', 'Anak I', 'dr Sudigdo', '811199', 408000, 408000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12385, '66920106', '2003', '12385', '20030225', '20030223', '', 'Anak I', 'BP Fitrah', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12386, '16801865', '2003', '12386', '20030225', '20030224', '', 'Anak I', 'dr Handarmi', '811199', 345800, 345800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12387, '71950212', '2003', '12387', '20030225', '20030221', '', 'Pegawai', 'Apotik Sentosa', '811199', 93450, 93450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12388, '77021068', '2003', '12388', '20030225', '20030224', '', 'Pegawai', 'RSPI', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12389, '79030001', '2003', '12389', '20030214', '20030209', '', 'Pegawai', 'Kamila Medika', '811199', 36000, 36000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12390, '8002002', '2003', '12390', '20030214', '20030118', '', 'Pegawai', 'dr Angelia', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12391, '8002002', '2003', '12391', '20030214', '20030118', '', 'Pegawai', 'Kimia Farma', '811199', 236000, 236000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12392, '61021212', '2003', '12392', '20030214', '20030127', '', 'Anak I', 'dr Syahpudin', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12393, '61021212', '2003', '12393', '20030214', '20030127', '', 'Anak I', 'Kimia Frama', '811199', 112600, 112600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12394, '75020001', '2003', '12394', '20030214', '20030126', '', 'Pegawai', 'Klinik TK', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12395, '74031438', '2003', '12395', '20030214', '20030124', 'Ilham', 'Anak I', 'RSAB HK', '811199', 289000, 289000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12396, '72099654', '2003', '12396', '20030214', '20030205', '', 'Isteri', 'Pol Wonorejo', '811199', 71500, 71500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12397, '61920040', '2003', '12397', '20030228', '20030225', '', 'Pegawai', 'dr Bambang', '811199', 322113, 322113, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12398, '69021086', '2003', '12398', '20030228', '20030225', '', 'Isteri', 'dr Asril D', '811199', 554450, 554450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12399, '70960409', '2003', '12399', '20030228', '20030221', '', 'Pegawai', 'dr Elfrida', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12400, '43950002', '2003', '12400', '20030228', '20030201', '', 'Pegawai', '', '811199', 1784650, 1784650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12401, '70930144', '2003', '12401', '20030228', '20030221', '', 'Pegawai', 'dr Eva', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12402, '63970478', '2003', '12402', '20030228', '20030222', '', 'Pegawai', 'dr Budi Yudono', '811199', 391500, 391500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12403, '70010898', '2003', '12403', '20030228', '20030221', '', 'Isteri', 'RS Mitra', '811199', 230200, 230200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12404, '66010859', '2003', '12404', '20030228', '20030217', 'Maulida A.', 'Anak II', 'dr Santy', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12405, '77000793', '2003', '12405', '20030228', '20030222', '', 'Pegawai', 'dr Pahri S', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12406, '63950202', '2003', '12406', '20030228', '20030220', '', 'Anak II', 'Klinik Bukit', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12407, '58021106', '2003', '12407', '20030228', '20030218', 'Dhannang', 'Anak I', 'dr Puspito', '811199', 224300, 224300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12408, '68950174', '2003', '12408', '20030228', '20030213', '', 'Anak I', 'dr Bambang', '811199', 313640, 313640, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12409, '65010987', '2003', '12409', '20030228', '20030218', '', 'Anak I', 'drg Liza R', '811199', 198000, 198000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12410, '60930116', '2003', '12410', '20030228', '20030227', 'Rios', 'Anak I', 'dr Dadang', '811199', 713650, 713650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12411, '57930113', '2003', '12411', '20030228', '20030207', '', 'Pegawai', 'dr Gusti Gde', '811199', 176179, 176179, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12412, '65920018', '2003', '12412', '20030228', '20030226', '', 'Pegawai', 'IMPHI', '811199', 135600, 135600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12413, '65960348', '2003', '12413', '20030228', '20030224', '', 'Pegawai', 'RS MMC', '811199', 309400, 309400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12414, '66950220', '2003', '12414', '20030228', '20030226', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 246000, 246000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12415, '56920028', '2003', '12415', '20030228', '20030222', 'Sri Endang Susilowati', 'Isteri', 'Aptk Jambore', '811199', 278000, 278000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12416, '27501001', '2003', '12416', '20030228', '20030224', '', 'Pegawai', 'dr H M Harahap', '811199', 74500, 74500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12417, '66011023', '2003', '12417', '20030228', '20030208', '', 'Isteri', 'dr M Hoesin', '811199', 78000, 78000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12418, '57980555', '2003', '12418', '20030401', '20030327', 'Rusmiati', 'Isteri', 'Aji Waras', '811199', 439700, 439700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12419, '54099650', '2003', '12419', '20030306', '20030224', 'Luthfi Khairawa Putra', 'Anak I', 'RS Pertamina', '811199', 77500, 77500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12420, '64950184', '2003', '12420', '20030311', '20030226', '', 'Pegawai', 'Klinik Armabar', '811199', 972200, 972200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12421, '68950221', '2003', '12421', '20030306', '20030304', '', 'Pegawai', 'Yay Bhakti Asih', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12422, '74950356', '2003', '12422', '20030306', '20030228', 'Thifal N.', 'Anak II', 'dr Afandi', '811199', 262650, 262650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12423, '66011023', '2003', '12423', '20030311', '20030226', '', 'Pegawai', 'dr Ferry', '811199', 79500, 79500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12424, '61021212', '2003', '12424', '20030306', '20030303', '', 'Anak I', 'dr Robert Adit', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12425, '61000731', '2003', '12425', '20030306', '20030228', 'Sri Windarti', 'Isteri', 'RS Barromeus', '811199', 446200, 446200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12426, '74950226', '2003', '12426', '20030306', '20030228', 'Dewi Firchati', 'Isteri', 'dr Irwan O', '811199', 296300, 296300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12427, '70950177', '2003', '12427', '20030306', '20030301', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 413300, 413300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12428, '17101947', '2003', '12428', '20030311', '20030227', '', 'Pegawai', 'dr I Made Subrata', '811199', 293900, 293900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12429, '62920060', '2003', '12429', '20030306', '20030228', '', 'Pegawai', 'drg Elizabeth', '811199', 390000, 390000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12430, '57980555', '2003', '12430', '20030306', '20030224', '', 'Pegawai', 'dr Endang', '811199', 277000, 277000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12431, '69980544', '2003', '12431', '20030306', '20030301', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 275750, 275750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12432, '71960437', '2003', '12432', '20030306', '20030305', 'M. Farhan', 'Anak II', 'Bunda Auni II', '811199', 267000, 267000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12433, '74021263', '2003', '12433', '20030311', '20030221', '', 'Anak I', 'dr Bambang', '811199', 348300, 348300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12434, '64920046', '2003', '12434', '20030311', '20030228', '', 'Pegawai', 'drg Sri', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12435, '17702001', '2003', '12435', '20030311', '20030228', '', 'Pegawai', 'JMC', '811199', 70500, 70500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12436, '64950185', '2003', '12436', '20030306', '20030304', '', 'Isteri', 'RS Prikasih', '811199', 443000, 443000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12437, '16801865', '2003', '12437', '20030311', '20030224', '', 'Anak I', 'Limus Medika', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12438, '68950341', '2003', '12438', '20030311', '20030305', '', 'Anak I', 'RSAB Harapan', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12439, '68930133', '2003', '12439', '20030306', '20030228', '', 'Pegawai', 'dr Nugroho', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12440, '64980559', '2003', '12440', '20030311', '20030213', 'Malika Daeng Ratang', 'Isteri', 'RS Patria', '811199', 382500, 332500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12441, '63990637', '2003', '12441', '20030311', '20030306', 'Abdul Hadi', 'Anak III', 'RS Haji', '811199', 96500, 96500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12442, '58950188', '2003', '12442', '20030306', '20030306', '', 'Anak I', 'RS Budi Asih', '811199', 96500, 96500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12443, '58950188', '2003', '12443', '20030311', '20030223', '', 'Pegawai', 'dr Agung', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12444, '70940155', '2003', '12444', '20030311', '20030303', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 152110, 152110, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12445, '77021138', '2003', '12445', '20030311', '20030228', '', 'Pegawai', 'Klinik Prima', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12446, '75020004', '2003', '12446', '20030311', '20030227', '', 'Pegawai', 'dr Monang', '811199', 136400, 136400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12447, '68920053', '2003', '12447', '20030306', '20030303', 'Syahida Nurrahmah', 'Anak II', 'RS Hermina', '811199', 193000, 193000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12448, '65960379', '2003', '12448', '20030311', '20030302', 'Arum Rosmawangi', 'Isteri', 'drg Darnis', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12449, '65960399', '2003', '12449', '20030311', '20030224', '', 'Anak I', 'RS Hermina', '811199', 241000, 241000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12450, '67920065', '2003', '12450', '20030306', '20030207', '', 'Pegawai', 'Satiti', '811199', 300825, 300825, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12451, '66920073', '2003', '12451', '20030306', '20030304', '', 'Pegawai', 'dr Lucky', '811199', 128400, 128400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12452, '64960394', '2003', '12452', '20030306', '20030301', '', 'Pegawai', 'dr Rudy A', '811199', 700000, 700000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12453, '81042279', '2003', '12453', '20030225', '20030304', '', 'Pegawai', 'drg Suharda', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12454, '65980564', '2003', '12454', '20030306', '20030226', 'Neni Nuraeni', 'Isteri', 'dr Soediejo', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12455, '16801896', '2003', '12455', '20030306', '20030227', '', 'Anak I', 'dr Adnan S', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12456, '43950002', '2003', '12456', '20030306', '20030304', '', 'Pegawai', '', '811199', 1707520, 1707520, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12457, '43950002', '2003', '12457', '20030306', '20030301', '', 'Pegawai', '', '811199', 1868600, 1868600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12458, '81042279', '2003', '12458', '20030225', '20030224', '', 'Pegawai', 'Ap. W. Buncit', '811199', 90800, 90800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12459, '81042279', '2003', '12459', '20030225', '20030304', '', 'Pegawai', 'Mampang Sari', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12460, '69000687', '2003', '12460', '20030311', '20030304', '', 'Pegawai', 'RSIB', '811199', 213100, 213100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12461, '68950221', '2003', '12461', '20030311', '20030308', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12462, '76980517', '2003', '12462', '20030311', '20030304', '', 'Isteri', 'RB Mutiara Bunda', '811199', 58200, 58200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12463, '70000791', '2003', '12463', '20030311', '20030305', 'M. Khalif F.', 'Anak I', 'Yay Jambangan', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12464, '65010987', '2003', '12464', '20030311', '20030301', '', 'Isteri', 'dr Uun K', '811199', 177500, 177500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12465, '67950198', '2003', '12465', '20030311', '20030304', '', 'Pegawai', 'drg Ani,Ladogi', '811199', 126500, 126500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12466, '67930149', '2003', '12466', '20030311', '20030310', '', 'Pegawai', 'RS Medistra', '811199', 365000, 365000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12467, '67950198', '2003', '12467', '20030311', '20030310', '', 'Pegawai', 'drg Ani,Ladogi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12468, '65980564', '2003', '12468', '20030306', '20030305', 'Nabila Putri Larasati', 'Anak I', 'dr Putri Amalia', '811199', 246710, 246710, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12469, '70940155', '2003', '12469', '20030311', '20030308', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 92500, 92500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12470, '73021253', '2003', '12470', '20030311', '20030305', '', 'Pegawai', 'JMC', '811199', 336500, 336500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12471, '73010858', '2003', '12471', '20030311', '20030306', '', 'Isteri', 'RS Mitra Keluarga', '811199', 313700, 313700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12472, '77000793', '2003', '12472', '20030311', '20030306', '', 'Pegawai', 'Poli Yay Sigrahusada', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12473, '70950214', '2003', '12473', '20030311', '20030307', '', 'Anak I', 'RSB Asih', '811199', 302000, 302000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12474, '64920046', '2003', '12474', '20030311', '20030308', '', 'Pegawai', 'drg Sri', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12475, '63970478', '2003', '12475', '20030311', '20030306', '', 'Pegawai', 'drg Indrawati', '811199', 494500, 494500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12476, '70950177', '2003', '12476', '20030311', '20030305', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 133600, 133600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12477, '61920069', '2003', '12477', '20030311', '20030226', '', 'Pegawai', 'Apotik Gayamsari', '811199', 129300, 129300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12478, '68930133', '2003', '12478', '20030311', '20030305', '', 'Pegawai', 'dr Nugroho', '811199', 75500, 75500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12479, '27400906', '2003', '12479', '20030311', '20030308', '', 'Pegawai', 'drg Herman', '811199', 271000, 271000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12480, '68000760', '2003', '12480', '20030311', '20030221', 'Athifah Hanani', 'Anak II', 'dr Retno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12481, '70970475', '2003', '12481', '20030311', '20030301', '', 'Isteri', 'RS Hermina', '811199', 221300, 221300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12482, '59920056', '2003', '12482', '20030311', '20030226', '', 'Pegawai', 'RS Aini', '811199', 237350, 237350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12483, '62920060', '2003', '12483', '20030311', '20030305', 'Osama Ladn Rayhan', 'Anak I', 'dr HM Ahmad', '811199', 85200, 85200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12484, '62910013', '2003', '12484', '20030311', '20030305', '', 'Anak I', 'dr Azwin', '811199', 100100, 100100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12485, '60950354', '2003', '12485', '20030311', '20030306', 'Damar Surya Irdana', 'Anak II', 'dr Hartati N S', '811199', 208100, 208100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12486, '70950204', '2003', '12486', '20030311', '20030303', 'Rustini', 'Isteri', 'Klinik Cipadu', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12487, '56920028', '2003', '12487', '20030311', '20030227', 'Sri Endang Susilowati', 'Isteri', 'Aptk Gucci Medika', '811199', 429000, 429000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12488, '69970477', '2003', '12488', '20030311', '20030305', '', 'Pegawai', 'Klinik LPM', '811199', 64500, 64500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12489, '69940161', '2003', '12489', '20030311', '20030310', 'Idah Maimun Hafidah', 'Isteri', 'dr Soepardi,MMC', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12490, '59021080', '2003', '12490', '20030311', '20030309', '', 'Anak I', 'dr Kemal', '811199', 190600, 190600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12491, '58000807', '2003', '12491', '20030311', '20030306', '', 'Anak III', 'dr Rivai', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12492, '70000684', '2003', '12492', '20030311', '20030226', '', 'Anak I', 'dr Gatami', '811199', 169100, 169100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12493, '69000669', '2003', '12493', '20030311', '20030308', '', 'Anak I', 'Rs Tria Dipa', '811199', 403800, 403800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12494, '67920089', '2003', '12494', '20030311', '20030307', 'Muhammad Ilham Kamil', 'Anak II', 'JMC', '811199', 154700, 154700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12495, '73960391', '2003', '12495', '20030311', '20030228', 'Reynard', 'Anak I', 'dr Retno Adi', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12496, '57930124', '2003', '12496', '20030311', '20030307', '', 'Anak II', 'dr Pudji W', '811199', 772300, 772300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12497, '68920057', '2003', '12497', '20030311', '20030228', 'Rahman M.', 'Anak III', 'RSPC', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12498, '66010859', '2003', '12498', '20030311', '20030228', 'Anisya B.', 'Anak I', 'dr Santy', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12499, '61950175', '2003', '12499', '20030311', '20030310', 'Novana Nisrina W', 'Anak I', 'RS Hermina', '811199', 333400, 333400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12500, '64960402', '2003', '12500', '20030311', '20030306', '', 'Pegawai', 'RS Aini', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 12501 - 13000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12501, '61920040', '2003', '12501', '20030311', '20030308', 'Etty Rukhiaty Siregar ,SH', 'Isteri', 'RS Graha Medika', '811199', 793700, 793700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12502, '71940159', '2003', '12502', '20030311', '20030305', '', 'Pegawai', 'RSPI', '811199', 402950, 402950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12503, '67950213', '2003', '12503', '20030228', '20030225', '', 'Anak I', 'RS Harapan Kita', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12504, '70960409', '2003', '12504', '20030228', '20030228', '', 'Pegawai', 'RS Medistra', '811199', 223400, 223400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12505, '63990637', '2003', '12505', '20030228', '20030222', '', 'Pegawai', 'RS Budhi Jaya', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12506, '66950355', '2003', '12506', '20030228', '20030225', '', 'Isteri', 'RS Dharmais', '811199', 352476, 352476, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12507, '67940157', '2003', '12507', '20030311', '20030217', '', 'Anak II', 'Apk Pulo Asem', '811199', 199400, 199400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12508, '66950355', '2003', '12508', '20030306', '20030301', '', 'Isteri', 'RS Dharmais', '811199', 109200, 109200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12509, '72000707', '2003', '12509', '20030306', '20030304', '', 'Anak I', 'dr Tjandro', '811199', 391000, 391000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12510, '72000707', '2003', '12510', '20030306', '20030304', '', 'Isteri', 'dr Tjandro', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12511, '70980554', '2003', '12511', '20030221', '20030304', '', 'Pegawai', 'RS Medistra', '811199', 909000, 909000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12512, '78990600', '2003', '12512', '20030306', '20030220', '', 'Pegawai', 'RS Medistra', '811199', 265600, 265600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12513, '62910008', '2003', '12513', '20030306', '20030301', 'Naufal', 'Anak II', 'RS Pondok Indah', '811199', 584500, 584500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12514, '66980545', '2003', '12514', '20030311', '20030225', 'Rika Waisulkarni', 'Isteri', 'dr Ananda', '811199', 90500, 90500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12515, '75950186', '2003', '12515', '20030306', '20030228', '', 'Pegawai', 'RS Medistra', '811199', 150700, 150700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12516, '57910014', '2003', '12516', '20030306', '20030228', '', 'Pegawai', 'dr Yacob', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12517, '57990576', '2003', '12517', '20030311', '20030303', '', 'Pegawai', 'RS Harum', '811199', 507700, 507700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12518, '51980512', '2003', '12518', '20030306', '20030305', 'Wiratama I', 'Anak III', 'Klinik Suryo', '811199', 465000, 465000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12519, '74990649', '2003', '12519', '20030306', '20030301', '', 'Pegawai', 'Apk Bayu', '811199', 185500, 185500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12520, '70920034', '2003', '12520', '20030306', '20030228', '', 'Pegawai', 'RS Mitra', '811199', 298200, 298200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12521, '63950190', '2003', '12521', '20030306', '20030301', '', 'Anak I', 'dr prof Taslim', '811199', 737685, 737685, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12522, '58000807', '2003', '12522', '20030311', '20030215', '', 'Anak III', 'dr Rivai', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12523, '70930144', '2003', '12523', '20030306', '20030228', '', 'Pegawai', 'dr Eva', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12524, '63920052', '2003', '12524', '20030311', '20030301', '', 'Anak I', 'dr Suwarmo', '811199', 79000, 79000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12525, '67930149', '2003', '12525', '20030311', '20030307', '', 'Pegawai', 'drg Elisabeth', '811199', 595000, 595000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12526, '74990649', '2003', '12526', '20030306', '20030305', '', 'Pegawai', 'dr Krisna', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12527, '68950174', '2003', '12527', '20030314', '20030301', '', 'Anak I', 'RS Hermina', '811199', 163000, 163000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12528, '75990657', '2003', '12528', '20030314', '20030305', '', 'Pegawai', 'RSPI', '811199', 782249, 782249, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12529, '66920073', '2003', '12529', '20030306', '20030308', '', 'Anak I', 'dr Songa', '811199', 90600, 90600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12530, '68000752', '2003', '12530', '20030314', '20030307', 'Harits Sudarsono M', 'Anak I', 'RS Darmais', '811199', 558000, 558000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12531, '17100718', '2003', '12531', '20030314', '20030310', '', 'Pegawai', 'SOS Medika', '811199', 508892, 508892, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12532, '71980540', '2003', '12532', '20030314', '20030312', 'Indah Kusharyanti', 'Isteri', 'RS MMC', '811199', 316400, 316400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12533, '71950367', '2003', '12533', '20030314', '20030303', 'Sintong N. M.', 'Anak I', 'RS Cikini', '811199', 337900, 337900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12534, '49920032', '2003', '12534', '20030314', '20030312', '', 'Pegawai', 'RS St Carolus', '811199', 219700, 219700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12535, '67920049', '2003', '12535', '20030314', '20030307', '', 'Anak I', 'dr M Fuad', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12536, '70930144', '2003', '12536', '20030314', '20030307', '', 'Pegawai', 'dr Eva', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12537, '81042279', '2003', '12537', '20030314', '20030310', '', 'Pegawai', 'drg Suhanda', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12538, '60970471', '2003', '12538', '20030314', '20030311', '', 'Pegawai', 'dr S Poedjo', '811199', 99700, 99700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12539, '60920075', '2003', '12539', '20030314', '20030301', 'Tatag Abiyoso Utomo', 'Anak I', 'dr Sandra', '811199', 368600, 368600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12540, '72000794', '2003', '12540', '20030314', '20030304', '', 'Isteri', 'dr Rudiyanti', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12541, '71950200', '2003', '12541', '20030314', '20030312', '', 'Pegawai', 'RS Carolus', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12542, '50950207', '2003', '12542', '20030314', '20030310', 'Sapariyah', 'Isteri', 'dr Vidya Pati M', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12543, '75021078', '2003', '12543', '20030314', '20030306', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12544, '75980563', '2003', '12544', '20030314', '20030311', 'Alia Hanifah', 'Isteri', 'RS Setia Mitra', '811199', 207500, 207500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12545, '68021214', '2003', '12545', '20030314', '20030228', '', 'Pegawai', 'Klinik Mal Ciputra', '811199', 189500, 189500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12546, '71980540', '2003', '12546', '20030314', '20030311', 'Indah Kusharyanti', 'Isteri', 'RS MMC', '811199', 846300, 846300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12547, '69950222', '2003', '12547', '20030314', '20030307', '', 'Anak I', 'dr Sofyan', '811199', 213500, 213500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12548, '66980545', '2003', '12548', '20030314', '20030307', 'Rika Waisulkarni', 'Isteri', 'RS Tria Dipa', '811199', 192500, 192500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12549, '66980545', '2003', '12549', '20030314', '20030214', '', 'Pegawai', 'Denta Medika', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12550, '66920106', '2003', '12550', '20030314', '20030311', 'Fitriani', 'Isteri', 'dr Yastri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12551, '68960412', '2003', '12551', '20030314', '20030310', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 451200, 451200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12552, '76021052', '2003', '12552', '20030314', '20030311', '', 'Pegawai', 'dr Firman B', '811199', 83000, 83000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12553, '62920017', '2003', '12553', '20030314', '20030307', 'Hadidjah Sansono', 'Isteri', 'RS Tria Dipa', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12554, '62920044', '2003', '12554', '20030314', '20030307', '', 'Anak I', 'RS Mitra', '811199', 284500, 284500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12555, '63970476', '2003', '12555', '20030314', '20030313', '', 'Pegawai', 'dr Yahya', '811199', 126100, 126100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12556, '60960384', '2003', '12556', '20030314', '20030310', '', 'Pegawai', 'dr Agus F', '811199', 134500, 134500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12557, '61930128', '2003', '12557', '20030314', '20030313', 'R. Raditya M.L', 'Anak I', 'RSPI', '811199', 298268, 298268, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12558, '76010869', '2003', '12558', '20030306', '20030223', '', 'Pegawai', 'JMC', '811199', 106900, 106900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12559, '69000669', '2003', '12559', '20030318', '20030317', '', 'Anak I', 'RS Tria Dipa', '811199', 114100, 114100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12560, '67940157', '2003', '12560', '20030318', '20030313', '', 'Anak I', 'dr H Alatas', '811199', 261300, 261300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12561, '64980559', '2003', '12561', '20030318', '20030311', '', 'Pegawai', 'Apk Roxy', '811199', 537500, 537500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12562, '64980559', '2003', '12562', '20030318', '20030130', 'Malika Daeng Ratang', 'Isteri', 'Apk Titi Murni', '811199', 1784000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12563, '17300901', '2003', '12563', '20030318', '20030315', '', 'Isteri', 'RS Hermina', '811199', 385950, 385950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12564, '56920028', '2003', '12564', '20030318', '20030317', 'Sri Endang Susilowati', 'Isteri', 'Aptk Gucci Medika', '811199', 245500, 245500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12565, '17501981', '2003', '12565', '20030318', '20030314', '', 'Pegawai', 'drg Dwi', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12566, '67990636', '2003', '12566', '20030318', '20030310', 'Ria Maria', 'Isteri', 'Klinik Citama', '811199', 149000, 149000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12567, '71990647', '2003', '12567', '20030318', '20030310', '', 'Anak II', 'Pol HR Kita', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12568, '71940159', '2003', '12568', '20030318', '20030228', '', 'Pegawai', 'dr Eva', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12569, '72099654', '2003', '12569', '20030318', '20030227', '', 'Isteri', 'Aptk Mataram', '811199', 941600, 941600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12570, '63910010', '2003', '12570', '20030318', '20030308', 'Sharmaina', 'Anak III', 'dr Azwir', '811199', 132900, 132900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12571, '64950184', '2003', '12571', '20030318', '20030311', 'Nadia Astuti', 'Isteri', 'Klinik Armabar', '811199', 460000, 460000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12572, '63990637', '2003', '12572', '20030318', '20030312', 'Hakimah Masfiah', 'Isteri', 'Aptk Victory', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12573, '57990576', '2003', '12573', '20030318', '20030305', '', 'Pegawai', 'RSMI', '811199', 472700, 472700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12574, '17501895', '2003', '12574', '20030318', '20030307', '', 'Anak I', 'Med Sampurna', '811199', 143200, 143200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12575, '70940155', '2003', '12575', '20030318', '20030314', '', 'Anak II', 'Klinik Embun', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12576, '63970464', '2003', '12576', '20030318', '20030313', '', 'Pegawai', 'Klinik Syarif', '811199', 192500, 192500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12577, '61920040', '2003', '12577', '20030318', '20030315', 'Ilham Idris Ardiansyah Pulungan', 'Anak II', 'dr Leopold', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12578, '61950175', '2003', '12578', '20030318', '20030316', '', 'Pegawai', 'dr Machjudin', '811199', 42000, 42000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12579, '75020004', '2003', '12579', '20030318', '20030308', '', 'Isteri', 'drg Rahmi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12580, '63970483', '2003', '12580', '20030318', '20030311', '', 'Anak I', 'dr Eko Rahmanianto', '811199', 335500, 335500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12581, '71960398', '2003', '12581', '20030318', '20030317', '', 'Isteri', 'RS Graha M', '811199', 193100, 193100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12582, '69960396', '2003', '12582', '20030318', '20030308', 'Dhiwi Susanti', 'Isteri', 'Puri Medika', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12583, '66000735', '2003', '12583', '20030318', '20030308', '', 'Pegawai', 'Yay Bakti Insani', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12584, '76010869', '2003', '12584', '20030318', '20030227', '', 'Pegawai', 'JMC', '811199', 102300, 102300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12585, '70000717', '2003', '12585', '20030318', '20030318', '', 'Pegawai', 'RS Medistra', '811199', 129300, 129300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12586, '62920017', '2003', '12586', '20030324', '20030322', 'Hadidjah Sansono', 'Isteri', 'RS Tria Dipa', '811199', 359100, 359100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12587, '68950221', '2003', '12587', '20030324', '20030322', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 131500, 131500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12588, '59021080', '2003', '12588', '20030324', '20030323', '', 'Anak I', 'dr Kemal', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12589, '60920041', '2003', '12589', '20030324', '20030319', 'Baswara Raspati Mursyid', 'Anak II', 'dr Nana', '811199', 878300, 878300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12590, '73000708', '2003', '12590', '20030324', '20030321', '', 'Anak I', 'RS Puri Cinere', '811199', 220400, 220400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12591, '66970473', '2003', '12591', '20030324', '20030302', '', 'Pegawai', 'Yay Bina Sehat', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12592, '43950002', '2003', '12592', '20030324', '20030311', '', 'Pegawai', '', '811199', 1863400, 1863400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12593, '17300785', '2003', '12593', '20030324', '20030317', '', 'Pegawai', 'dr Juni Zarman', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12594, '65960408', '2003', '12594', '20030324', '20030315', '', 'Pegawai', 'dr Meri S', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12595, '74970450', '2003', '12595', '20030324', '20030317', '', 'Pegawai', 'dr Ridwan', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12596, '72000696', '2003', '12596', '20030324', '20030315', '', 'Pegawai', 'RS Hermina', '811199', 174500, 174500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12597, '68960412', '2003', '12597', '20030324', '20030316', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 371000, 371000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12598, '61970468', '2003', '12598', '20030324', '20030307', '', 'Pegawai', 'dr Nurwansyah', '811199', 179900, 179900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12599, '70970480', '2003', '12599', '20030324', '20030317', '', 'Anak I', 'dr Loky B', '811199', 316200, 316200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12600, '70960414', '2003', '12600', '20030324', '20030311', '', 'Pegawai', 'RS Jakarta', '811199', 767321, 767321, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12601, '68960412', '2003', '12601', '20030324', '20030315', '', 'Pegawai', 'dr Jeane', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12602, '65920039', '2003', '12602', '20030324', '20030318', 'Wiwin W,AMK', 'Isteri', 'RSIB', '811199', 602100, 602100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12603, '65930147', '2003', '12603', '20030324', '20030305', '', 'Anak I', 'RS Harum', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12604, '77021068', '2003', '12604', '20030324', '20030318', '', 'Pegawai', 'RSPI', '811199', 183674, 183674, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12605, '70950204', '2003', '12605', '20030324', '20030318', '', 'Pegawai', 'Klinik Cipadu', '811199', 31000, 31000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12606, '66950355', '2003', '12606', '20030324', '20030308', '', 'Isteri', 'RS Dharmais', '811199', 62500, 62500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12607, '64920046', '2003', '12607', '20030324', '20030317', '', 'Pegawai', 'drg Sri', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12608, '71960437', '2003', '12608', '20030324', '20030311', '', 'Pegawai', 'Bunda Auni II', '811199', 165600, 165600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12609, '64930110', '2003', '12609', '20030324', '20030312', '', 'Isteri', 'RSIB', '811199', 303300, 303300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12610, '69021086', '2003', '12610', '20030324', '20030318', '', 'Anak I', 'Klinik Limus', '811199', 100600, 100600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12611, '71990574', '2003', '12611', '20030324', '20030317', '', 'Pegawai', 'Apk Bimasakti', '811199', 61600, 61600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12612, '75021078', '2003', '12612', '20030328', '20030317', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12613, '67960411', '2003', '12613', '20030328', '20030322', 'Fakhri Achmad', 'Anak II', 'RB Citra A', '811199', 170500, 170500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12614, '68960412', '2003', '12614', '20030328', '20030319', 'Michelle Shan C.', 'Anak I', 'Klinik Metro Duta', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12615, '61920069', '2003', '12615', '20030328', '20030218', 'Mochamad Arga Wirayudha', 'Anak II', 'Kimia Farma', '811199', 80700, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12616, '61920069', '2003', '12616', '20030328', '20030319', 'Retno Murti Laila', 'Isteri', 'Apotik Gayamsari', '811199', 137700, 137700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12617, '64970465', '2003', '12617', '20030328', '20030326', '', 'Pegawai', 'JMC', '811199', 86700, 86700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12618, '47950340', '2003', '12618', '20030328', '20030324', '', 'Pegawai', 'RS Cibinong', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12619, '74950356', '2003', '12619', '20030228', '20030222', 'Thifal N.', 'Anak II', 'dr Afandi', '811199', 287400, 287400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12620, '16801865', '2003', '12620', '20030328', '20030322', '', 'Anak I', 'RSAB Medika', '811199', 56900, 56900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12621, '66920029', '2003', '12621', '20030328', '20030319', 'Yunsari', 'Isteri', 'Klinik Graha M', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12622, '66950191', '2003', '12622', '20030328', '20030324', '', 'Anak I', 'RSPI', '811199', 255044, 255044, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12623, '60950189', '2003', '12623', '20030328', '20030325', '', 'Pegawai', 'RS Budi Lestari', '811199', 223500, 223500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12624, '65010987', '2003', '12624', '20030328', '20030321', '', 'Isteri', 'dr Abdullah', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12625, '64920046', '2003', '12625', '20030328', '20030326', '', 'Pegawai', 'drg Sri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12626, '71990574', '2003', '12626', '20030328', '20030324', '', 'Pegawai', 'RS Hermina', '811199', 177500, 177500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12627, '65940151', '2003', '12627', '20030328', '20030314', '', 'Pegawai', 'RS Hermina', '811199', 579850, 579850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12628, '17702001', '2003', '12628', '20030328', '20030326', '', 'Pegawai', 'RS Fatmawati', '811199', 67000, 67000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12629, '63970464', '2003', '12629', '20030328', '20030318', '', 'Pegawai', 'Klinik Panti Nugraha', '811199', 74500, 74500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12630, '72950364', '2003', '12630', '20030328', '20030326', '', 'Pegawai', 'dr Retno R', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12631, '62920060', '2003', '12631', '20030328', '20030326', 'Eni Erlina', 'Isteri', 'dr Freddy S.H', '811199', 257800, 257800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12632, '70980554', '2003', '12632', '20030328', '20030322', '', 'Pegawai', 'Aptk IMPHI', '811199', 224800, 224800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12633, '70950370', '2003', '12633', '20030328', '20030327', '', 'Anak I', 'dr Mintoharjo', '811199', 164800, 164800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12634, '74990649', '2003', '12634', '20030328', '20030326', '', 'Pegawai', 'dr Kristina', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12635, '73000708', '2003', '12635', '20030328', '20030324', 'Rani Avianti', 'Isteri', 'RS Puri Cinere', '811199', 624100, 624100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12636, '68000752', '2003', '12636', '20030328', '20030326', 'Sri Siswanti SH', 'Isteri', 'RSPI', '811199', 515792, 515792, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12637, '66000735', '2003', '12637', '20030328', '20030325', '', 'Anak I', 'RS Tumbuh K', '811199', 162800, 162800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12638, '78990600', '2003', '12638', '20030328', '20030318', '', 'Pegawai', 'drg Sarworini', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12639, '70950199', '2003', '12639', '20030328', '20030315', '', 'Pegawai', 'dr Widayanto', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12640, '68950221', '2003', '12640', '20030328', '20030324', '', 'Pegawai', 'drg Sri Suliswati', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12641, '59950195', '2003', '12641', '20030328', '20030320', '', 'Pegawai', 'Mitra Keluarga', '811199', 195500, 195500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12642, '64930120', '2003', '12642', '20030328', '20030306', '', 'Pegawai', 'RSPI', '811199', 226016, 226016, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12643, '70000717', '2003', '12643', '20030328', '20030324', '', 'Pegawai', 'RS Mata AINI', '811199', 121200, 121200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12644, '54099650', '2003', '12644', '20030328', '20030324', '', 'Pegawai', 'dr Soemiati', '811199', 650000, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12645, '68960412', '2003', '12645', '20030328', '20030324', '', 'Pegawai', 'drg Ratna Sari', '811199', 131000, 131000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12646, '63970483', '2003', '12646', '20030328', '20030227', '', 'Anak I', 'dr Abdurahman', '811199', 134000, 134000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12647, '71960437', '2003', '12647', '20030324', '20030324', 'Rinawati', 'Isteri', 'RS Haji', '811199', 279300, 279300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12648, '71960389', '2003', '12648', '20030328', '20030317', '', 'Pegawai', 'RS Medistra', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12649, '66920074', '2003', '12649', '20030328', '20030317', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12650, '71940159', '2003', '12650', '20030328', '20030321', '', 'Pegawai', 'RSPI', '811199', 352316, 352316, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12651, '65960348', '2003', '12651', '20030328', '20030310', '', 'Pegawai', 'RS MMC', '811199', 488300, 488300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12652, '63920052', '2003', '12652', '20030328', '20030320', '', 'Anak I', 'dr Sumarno', '811199', 194000, 194000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12653, '70950177', '2003', '12653', '20030404', '20030331', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 132900, 132900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12654, '70970475', '2003', '12654', '20030401', '20030329', '', 'Isteri', 'RS Hermina', '811199', 337000, 337000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12655, '63970464', '2003', '12655', '20030401', '20030331', '', 'Pegawai', 'Ladokgi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12656, '64980559', '2003', '12656', '20030401', '20030329', 'Virtiany Pradawani', 'Anak I', 'RS Patria', '811199', 360500, 360500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12657, '69940161', '2003', '12657', '20030401', '20030329', 'Ratnadya Thurfa', 'Anak I', 'dr Tin ST', '811199', 90700, 90700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12658, '72000707', '2003', '12658', '20030401', '20030320', '', 'Pegawai', 'RSU Bungsu', '811199', 395800, 395800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12659, '72099654', '2003', '12659', '20030401', '20030329', '', 'Pegawai', 'JMC', '811199', 77200, 77200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12660, '65920018', '2003', '12660', '20030401', '20030328', 'Dwi Purnomowati', 'Isteri', 'dr Adhi Djuanda', '811199', 396000, 396000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12661, '74950356', '2003', '12661', '20030401', '20030329', '', 'Pegawai', 'dr Erik U', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12662, '75020001', '2003', '12662', '20030401', '20030324', '', 'Pegawai', 'RS Hermina', '811199', 307495, 307495, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12663, '70010882', '2003', '12663', '20030401', '20030327', '', 'Anak I', 'dr Zakiudin', '811199', 384300, 384300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12664, '70930144', '2003', '12664', '20030401', '20030328', '', 'Anak I', 'dr Indra', '811199', 307000, 307000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12665, '68930133', '2003', '12665', '20030401', '20030330', '', 'Pegawai', 'dr Nugroho', '811199', 397600, 397600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12666, '69000687', '2003', '12666', '20030401', '20030329', '', 'Pegawai', 'RS Setia Mitra', '811199', 72500, 72500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12667, '71960437', '2003', '12667', '20030401', '20030329', 'M. Farhan', 'Anak II', 'Bunda Auni II', '811199', 76300, 76300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12668, '76980517', '2003', '12668', '20030401', '20030327', 'Fathya A.W.', 'Anak I', 'RS Puri Cinere', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12669, '64010984', '2003', '12669', '20030401', '20030324', '', 'Isteri', 'dr Erwin', '811199', 755800, 755800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12670, '56920028', '2003', '12670', '20030401', '20030324', 'Sri Endang Susilowati', 'Isteri', 'RS Siaga Raya', '811199', 124500, 124500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12671, '60970479', '2003', '12671', '20030401', '20030329', '', 'Pegawai', 'drg Hendrik Irawan', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12672, '75980563', '2003', '12672', '20030401', '20030321', 'Alia Hanifah', 'Isteri', 'dr Abdullah B', '811199', 68000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12673, '67920049', '2003', '12673', '20030401', '20030329', '', 'Anak I', 'dr M Fuad', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12674, '75010905', '2003', '12674', '20030401', '20030304', '', 'Pegawai', 'dr Valentin J', '811199', 144100, 144100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12675, '60950353', '2003', '12675', '20030324', '20030227', '', 'Anak I', 'RSIB', '811199', 159400, 159400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12676, '76960435', '2003', '12676', '20030324', '20030319', '', 'Pegawai', 'RS Medistra', '811199', 193400, 193400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12677, '66950191', '2003', '12677', '20030324', '20030318', '', 'Pegawai', 'drg Inge', '811199', 199827, 199827, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12678, '67970469', '2003', '12678', '20030324', '20030318', 'Rafly Malik Sulaiman', 'Anak I', 'drg Gina', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12679, '74021263', '2003', '12679', '20030324', '20030316', '', 'Anak I', 'dr Bambang', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12680, '69021141', '2003', '12680', '20030324', '20030307', '', 'Pegawai', 'drg Sri Hariningsih', '811199', 448000, 448000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12681, '27400906', '2003', '12681', '20030324', '20030310', '', 'Anak I', 'dr H Zainal', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12682, '57980555', '2003', '12682', '20030324', '20030310', 'Rusmiati', 'Isteri', 'dr Endang', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12683, '63970464', '2003', '12683', '20030324', '20030318', '', 'Pegawai', 'drg Cut', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12684, '67950213', '2003', '12684', '20030324', '20030306', 'Martadewi', 'Isteri', 'drg Silvy Daniel', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12685, '63970478', '2003', '12685', '20030324', '20030321', '', 'Pegawai', 'drg Hj  Indrawati', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12686, '70950231', '2003', '12686', '20030324', '20030320', '', 'Pegawai', 'drg Endang Sri', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12687, '64950184', '2003', '12687', '20030324', '20030313', 'Nadia Astuti', 'Isteri', 'drg A Ninik', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12688, '60970474', '2003', '12688', '20030324', '20030309', '', 'Pegawai', 'drg Gina', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12689, '67920065', '2003', '12689', '20030324', '20030304', '', 'Pegawai', 'dr S Hindarto', '811199', 393000, 393000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12690, '69940161', '2003', '12690', '20030324', '20030321', '', 'Pegawai', 'dr Ike Widiarti', '811199', 565300, 565300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12691, '61950175', '2003', '12691', '20030324', '20030319', 'Novana Nisrina W', 'Anak I', 'RS Tumbuh K', '811199', 127900, 127900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12692, '70980554', '2003', '12692', '20030324', '20030316', '', 'Pegawai', 'RS Harto Siswono', '811199', 298500, 298500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12693, '68920053', '2003', '12693', '20030324', '20030317', '', 'Anak III', 'RS Hermina', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12694, '61920038', '2003', '12694', '20030324', '20030320', '', 'Pegawai', 'Apotik Retna', '811199', 281900, 281900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12695, '65970482', '2003', '12695', '20030324', '20030319', '', 'Pegawai', 'dr Bambang', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12696, '64970465', '2003', '12696', '20030324', '20030320', '', 'Pegawai', 'JMC', '811199', 75700, 75700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12697, '66980545', '2003', '12697', '20030328', '20030319', '', 'Pegawai', 'Denta Medika', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12698, '56950201', '2003', '12698', '20030328', '20030314', 'Devi Winingsih', 'Anak I', 'dr Yacob', '811199', 73000, 73000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12699, '70940155', '2003', '12699', '20030328', '20030323', 'Astri FW.', 'Anak I', 'Klinik Embun', '811199', 251400, 251400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12700, '68920057', '2003', '12700', '20030328', '20030324', 'Rahman M.', 'Anak III', 'RSPC', '811199', 174300, 174300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12701, '74000702', '2003', '12701', '20030328', '20030324', '', 'Pegawai', 'RS Mitra', '811199', 592700, 592700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12702, '71960403', '2003', '12702', '20030328', '20030324', '', 'Pegawai', 'drg Jimmi B', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12703, '68960388', '2003', '12703', '20030324', '20030324', 'Indriani', 'Isteri', 'RS Medistra', '811199', 377900, 377900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12704, '63970483', '2003', '12704', NULL, '20030322', '', 'Anak I', 'dr Abdurahman', '811199', 353000, 353000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12705, '66000735', '2003', '12705', '20030328', '20030322', '', 'Pegawai', 'RS Tugu Ibu', '811199', 226500, 226500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12706, '69960396', '2003', '12706', '20030328', '20030324', '', 'Anak I', 'Puri Medika', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12707, '62910008', '2003', '12707', '20030328', '20030321', '', 'Pegawai', 'RS Pondok Indah', '811199', 725486, 725486, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12708, '70930144', '2003', '12708', '20030328', '20030321', '', 'Pegawai', 'dr Indra', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12709, '61930128', '2003', '12709', '20030328', '20030319', '', 'Pegawai', 'dr Samsu Satari', '811199', 464700, 464700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12710, '74990649', '2003', '12710', '20030328', '20030319', '', 'Pegawai', 'RS Asih', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12711, '79010904', '2003', '12711', '20030328', '20030320', '', 'Pegawai', 'dr Supranoto', '811199', 128500, 128500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12712, '74950356', '2003', '12712', '20030328', '20030324', 'Thifal N.', 'Anak II', 'dr Budi', '811199', 385200, 385200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12713, '63920047', '2003', '12713', '20030328', '20030317', '', 'Isteri', 'dr Handaya', '811199', 410500, 410500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12714, '81042279', '2003', '12714', '20030324', '20030324', '', 'Pegawai', 'apotik ujang', '811199', 64000, 64000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12715, '74950226', '2003', '12715', '20030401', '20030326', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek Soan', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12716, '65930147', '2003', '12716', '20030401', '20030324', '', 'Anak I', 'RS Harum', '811199', 104000, 104000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12717, '65970482', '2003', '12717', '20030401', '20030329', '', 'Pegawai', 'dr Bambang', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12718, '61920045', '2003', '12718', '20030401', '20030331', 'Sutirma J.Rosalina', 'Isteri', 'dr Fachrudin', '811199', 170900, 170900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12719, '72950205', '2003', '12719', '20030401', '20030329', 'Rony Romelah', 'Isteri', 'Aptk Tumbuh K', '811199', 67100, 67100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12720, '70980570', '2003', '12720', '20030401', '20030329', 'Nabil', 'Anak I', 'RS Haji', '811199', 112200, 112200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12721, '74031438', '2003', '12721', '20030401', '20030130', '', 'Anak II', 'Aptk Sindhi Medika', '811199', 101000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12722, '74031438', '2003', '12722', '20030401', '20030326', '', 'Anak I', 'RS Harapan Kita', '811199', 513000, 513000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12723, '75980569', '2003', '12723', '20030401', '20030324', '', 'Pegawai', 'dr Oemi Alifa', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12724, '16801865', '2003', '12724', '20030401', '20030327', '', 'Pegawai', 'RSAB Mary', '811199', 225900, 225900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12725, '67920065', '2003', '12725', '20030401', '20030311', '', 'Pegawai', 'dr Gunawan', '811199', 372900, 372900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12726, '66920026', '2003', '12726', '20030328', '20030301', 'Ngakan Made Prakasa Judha', 'Anak II', 'RSIB', '811199', 214100, 214100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12727, '75980569', '2003', '12727', '20030404', '20030401', '', 'Pegawai', 'RS Graha Medika', '811199', 348000, 348000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12728, '77021068', '2003', '12728', '20030404', '20030401', '', 'Pegawai', 'RSPI', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12729, '72960390', '2003', '12729', '20030404', '20030331', '', 'Pegawai', 'dr Farida', '811199', 143500, 143500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12730, '69940161', '2003', '12730', '20030404', '20030402', '', 'Pegawai', 'dr Meirnawati', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12731, '27400906', '2003', '12731', '20030404', '20030329', '', 'Anak I', 'dr H Zainal', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12732, '74021263', '2003', '12732', '20030404', '20030331', '', 'Anak II', 'dr Bambang', '811199', 376800, 376800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12733, '72000794', '2003', '12733', '20030404', '20030331', '', 'Anak I', 'dr Abu Purwanto', '811199', 142400, 142400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12734, '63950202', '2003', '12734', '20030404', '20030331', 'Habapusilah', 'Isteri', 'Klinik Bukit', '811199', 260500, 260500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12735, '64920046', '2003', '12735', '20030404', '20030331', '', 'Pegawai', 'drg Sri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12736, '65980564', '2003', '12736', '20030404', '20030328', 'Neni Nuraeni', 'Isteri', 'RS Hermina', '811199', 306675, 306675, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12737, '58000807', '2003', '12737', '20030404', '20030401', 'Fitria', 'Anak I', 'dr Rivai', '811199', 408500, 408500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12738, '63950190', '2003', '12738', '20030404', '20030319', '', 'Pegawai', 'RSM Aini', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12739, '66970495', '2003', '12739', '20030404', '20030402', '', 'Pegawai', 'dr Soeprapto', '811199', 187300, 187300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12740, '16801865', '2003', '12740', '20030404', '20030402', '', 'Pegawai', 'Klinik Limus', '811199', 214500, 214500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12741, '65960399', '2003', '12741', '20030404', '20030326', '', 'Anak I', 'RS Hermina', '811199', 227740, 227740, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12742, '17700818', '2003', '12742', '20030404', '20030331', '', 'Pegawai', 'dr Sabana', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12743, '69950222', '2003', '12743', '20030404', '20030401', '', 'Anak I', 'dr Sofyan', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12744, '43950002', '2003', '12744', '20030404', '20030331', '', 'Pegawai', '', '811199', 1379750, 1379750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12745, '65021085', '2003', '12745', '20030404', '20030331', '', 'Pegawai', 'dr Radwia', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12746, '60950353', '2003', '12746', '20030404', '20030331', '', 'Anak I', 'RSIB', '811199', 807600, 807600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12747, '65940151', '2003', '12747', '20030404', '20030331', '', 'Anak I', 'drg Paulus', '811199', 42700, 42700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12748, '72000763', '2003', '12748', '20030404', '20030402', '', 'Pegawai', 'Klinik JMC', '811199', 67100, 67100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12749, '72021108', '2003', '12749', '20030404', '20030403', '', 'Anak I', 'dr H Bachrudin', '811199', 108000, 108000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12750, '69980544', '2003', '12750', '20030404', '20030403', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 202500, 202500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12751, '75990657', '2003', '12751', '20030408', '20030404', '', 'Pegawai', 'drg Elisabeth', '811199', 420000, 420000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12752, '59021080', '2003', '12752', '20030408', '20030405', '', 'Anak I', 'RS Hermina', '811199', 176500, 176500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12753, '67970469', '2003', '12753', '20030408', '20030403', 'Rafly Malik Sulaiman', 'Anak I', 'drg Gina', '811199', 325000, 325000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12754, '70010898', '2003', '12754', '20030408', '20030401', '', 'Pegawai', 'Apotik Bayu', '811199', 99600, 99600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12755, '50950207', '2003', '12755', '20030408', '20030403', '', 'Pegawai', 'dr Lukito', '811199', 265900, 265900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12756, '50950207', '2003', '12756', '20030408', '20030404', 'Sapariyah', 'Isteri', 'RSUD Kodja', '811199', 314000, 314000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12757, '69000669', '2003', '12757', '20030408', '20030403', '', 'Anak I', 'RS Tria Dipa', '811199', 191300, 191300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12758, '74000719', '2003', '12758', '20030408', '20030404', '', 'Pegawai', 'RS Bunda', '811199', 218300, 218300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12759, '77021138', '2003', '12759', '20030408', '20030403', '', 'Pegawai', 'Apotik Binjaya', '811199', 62300, 62300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12760, '65970472', '2003', '12760', '20030408', '20030403', '', 'Pegawai', 'dr Yenni', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12761, '62920044', '2003', '12761', '20030408', '20030406', '', 'Isteri', 'dr Biliater Sinaga', '811199', 2030500, 2030500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12762, '67950213', '2003', '12762', '20030408', '20030405', 'Martadewi', 'Isteri', 'Klinik Mitra II', '811199', 207500, 207500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12763, '17501895', '2003', '12763', '20030408', '20030404', '', 'Anak I', 'Med Sampurna', '811199', 142100, 142100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12764, '68000752', '2003', '12764', '20030408', '20030403', '', 'Pegawai', 'JMC', '811199', 416200, 416200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12765, '63970464', '2003', '12765', '20030408', '20030404', '', 'Pegawai', 'dr Thjin', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12766, '65010987', '2003', '12766', '20030408', '20030329', '', 'Isteri', 'dr A Basalamah', '811199', 166000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12767, '60950353', '2003', '12767', '20030408', '20030403', '', 'Pegawai', 'RSIB', '811199', 229000, 229000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12768, '64950219', '2003', '12768', '20030408', '20030404', '', 'Pegawai', 'Citra Ansana', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12769, '65960379', '2003', '12769', '20030408', '20030406', 'Arum Rosmawangi', 'Isteri', 'drg Darnus', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12770, '76960435', '2003', '12770', '20030408', '20030404', '', 'Pegawai', 'drg Ratna', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12771, '65960348', '2003', '12771', '20030408', '20030331', '', 'Pegawai', 'RS MMC', '811199', 316450, 316450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12772, '17098565', '2003', '12772', '20030408', '20030329', '', 'Anak I', 'RS Hermina', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12773, '81042279', '2003', '12773', '20030401', '20030404', '', 'Pegawai', 'dr Gatot S', '811199', 92400, 92400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12774, '63950190', '2003', '12774', '20030408', '20030405', '', 'Anak I', 'dr Taslim', '811199', 216550, 216550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12775, '70000684', '2003', '12775', '20030408', '20030329', 'Evi Lestari Mardiati', 'Isteri', 'dr Tazkiroh', '811199', 244900, 244900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12776, '66920073', '2003', '12776', NULL, '20030405', '', 'Anak I', 'Aptk Bintang', '811199', 100200, 100200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12777, '73021088', '2003', '12777', '20030408', '20030401', '', 'Isteri', 'dr Rudy', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12778, '73010858', '2003', '12778', '20030408', '20030405', '', 'Isteri', 'RS Mitra Keluarga', '811199', 162100, 162100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12779, '43950002', '2003', '12779', '20030408', '20030405', '', 'Pegawai', '', '811199', 1806700, 1806700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12780, '66970463', '2003', '12780', '20030408', '20030406', '', 'Pegawai', 'RS Patria', '811199', 65500, 65500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12781, '70940155', '2003', '12781', '20030408', '20030404', '', 'Pegawai', 'Klinik Embun', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12782, '63920047', '2003', '12782', '20030408', '20030407', '', 'Isteri', 'dr Handaya', '811199', 493800, 493800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12783, '74950356', '2003', '12783', '20030408', '20030405', 'Thifal N.', 'Anak II', 'dr H Affandi', '811199', 176300, 176300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12784, '60970474', '2003', '12784', '20030408', '20030405', '', 'Pegawai', 'dr Meliawati', '811199', 302000, 302000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12785, '64970465', '2003', '12785', '20030408', '20030403', '', 'Pegawai', 'Klinik Dharma', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12786, '57910014', '2003', '12786', '20030408', '20030407', 'Amir Shiddiq', 'Anak I', 'dr Yacob', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12787, '62910013', '2003', '12787', '20030408', '20030406', 'Nur Hasanah', 'Isteri', 'Cipta Husada', '811199', 79000, 79000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12788, '68950221', '2003', '12788', '20030408', '20030405', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 72500, 72500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12789, '75990657', '2003', '12789', '20030408', '20030405', '', 'Pegawai', 'RS Medistra', '811199', 516400, 516400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12790, '60930116', '2003', '12790', '20030408', '20030329', 'Rios', 'Anak I', 'dr Dadang', '811199', 1653901, 1653901, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12791, '68000760', '2003', '12791', '20030408', '20030313', 'Nurul Hidayati', 'Isteri', 'dr Retno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12792, '59920056', '2003', '12792', '20030408', '20030315', 'Marsifatmi Iriani', 'Isteri', 'RS Kartika', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12793, '77021429', '2003', '12793', '20030408', '20030404', '', 'Pegawai', 'RS Harapan Bunda', '811199', 147300, 147300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12794, '71960437', '2003', '12794', '20030411', '20030405', '', 'Pegawai', 'Klinik Bunda', '811199', 167200, 167200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12795, '74021263', '2003', '12795', '20030411', '20030407', '', 'Anak II', 'dr Bambang', '811199', 435600, 435600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12796, '77011017', '2003', '12796', '20030411', '20030409', '', 'Pegawai', 'dr Rani Novian', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12797, '75990657', '2003', '12797', '20030411', '20030410', '', 'Pegawai', 'RS Medistra', '811199', 645300, 361351, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12798, '77021138', '2003', '12798', '20030411', '20030409', '', 'Pegawai', 'Remedika Bintaro', '811199', 102500, 102500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12799, '67920089', '2003', '12799', '20030411', '20030410', 'Muhammad Ilham Kamil', 'Anak II', 'JMC', '811199', 143300, 143300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12800, '63990637', '2003', '12800', '20030411', '20030409', 'Aulia Rahman', 'Anak II', 'drg Setiawan', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12801, '61970468', '2003', '12801', '20030411', '20030409', '', 'Pegawai', 'dr Nurwansyah', '811199', 290500, 290500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12802, '75020001', '2003', '12802', '20030411', '20030409', '', 'Pegawai', 'dr Gayanti', '811199', 44000, 44000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12803, '66950220', '2003', '12803', '20030411', '20030406', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12804, '76021082', '2003', '12804', '20030411', '20030407', '', 'Pegawai', 'dr Yulia', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12805, '75020001', '2003', '12805', '20030411', '20030407', '', 'Pegawai', 'dr Spesialis Satiti', '811199', 121800, 121800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12806, '74011037', '2003', '12806', '20030411', '20030404', '', 'Pegawai', 'JMC', '811199', 58300, 58300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12807, '72000794', '2003', '12807', '20030411', '20030403', '', 'Pegawai', 'drg Agustinus', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12808, '65920033', '2003', '12808', '20030411', '20030408', 'Eti Karyati', 'Isteri', 'dr Sandro', '811199', 230100, 230100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12809, '16801896', '2003', '12809', '20030411', '20030404', '', 'Isteri', 'dr Adnan S', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12810, '65970482', '2003', '12810', '20030411', '20030407', '', 'Pegawai', 'dr Bambang', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12811, '67920049', '2003', '12811', '20030411', '20030408', '', 'Pegawai', 'RS Tri Mitra', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12812, '57980555', '2003', '12812', '20030411', '20030331', 'Rusmiati', 'Isteri', 'dr Nurtjahyani', '811199', 292600, 292600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12813, '65960408', '2003', '12813', '20030411', '20030406', '', 'Pegawai', 'dr Meri', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12814, '74970450', '2003', '12814', '20030411', '20030408', '', 'Pegawai', 'RSIA Hermina', '811199', 231100, 231100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12815, '59920104', '2003', '12815', '20030411', '20030407', 'Diah Komalasari', 'Isteri', 'RS Sumber Waras', '811199', 413500, 413500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12816, '68960412', '2003', '12816', '20030411', '20030406', 'Lily April Juliana Simanjuntak', 'Isteri', 'dr Jeanar S', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12817, '60950354', '2003', '12817', '20030411', '20030408', 'Reno E.Irmano', 'Anak I', 'dr Hartati N S', '811199', 93900, 93900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12818, '68920053', '2003', '12818', '20030411', '20030407', '', 'Anak III', 'dr Nancy', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12819, '61950175', '2003', '12819', '20030411', '20030407', 'Novana Nisrina W', 'Anak I', 'RS Hermina', '811199', 359100, 359100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12820, '66000735', '2003', '12820', '20030411', '20030407', '', 'Pegawai', 'JMC', '811199', 607900, 607900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12821, '64920046', '2003', '12821', '20030411', '20030407', 'Moch.Prahastomi', 'Anak I', 'Klinik Diva Medika', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12822, '63950202', '2003', '12822', '20030411', '20030407', '', 'Anak II', 'dr Eva', '811199', 139300, 139300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12823, '71990647', '2003', '12823', '20030411', '20030407', '', 'Anak II', 'Pol HR Kita', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12824, '64010984', '2003', '12824', '20030411', '20030410', '', 'Isteri', 'dr Irwin Z.C', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12825, '73099601', '2003', '12825', '20030411', '20030404', '', 'Anak I', 'RSHK', '811199', 344300, 344300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12826, '67950172', '2003', '12826', '20030411', '20030329', '', 'Pegawai', 'dr Masrin M', '811199', 151500, 151500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12827, '70950177', '2003', '12827', '20030411', '20030409', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 157400, 157400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12828, '62920050', '2003', '12828', '20030411', '20030409', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12829, '73010858', '2003', '12829', '20030411', '20030409', '', 'Pegawai', 'RS Trimitra', '811199', 105500, 105500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12830, '70950204', '2003', '12830', '20030415', '20030407', 'Rustini', 'Isteri', 'Klinik Sukamti', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12831, '69950222', '2003', '12831', '20030415', '20030414', '', 'Anak I', 'dr Sofyan', '811199', 151000, 151000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12832, '70970480', '2003', '12832', '20030415', '20030408', '', 'Anak I', 'RS MMC', '811199', 49400, 49400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12833, '43950002', '2003', '12833', '20030415', '20030413', '', 'Pegawai', '', '811199', 2392200, 2392200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12834, '59021080', '2003', '12834', '20030415', '20030412', '', 'Anak I', 'RS Hermina', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12835, '63950202', '2003', '12835', '20030415', '20030411', '', 'Pegawai', 'dr Lena', '811199', 54000, 54000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12836, '69021141', '2003', '12836', '20030415', '20030410', '', 'Anak I', 'dr Ellen T', '811199', 388650, 388650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12837, '65920018', '2003', '12837', '20030415', '20030414', 'Dwi Purnomowati', 'Isteri', 'dr Adhidjuanda', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12838, '16701946', '2003', '12838', '20030415', '20030414', '', 'Anak I', 'dr Hardjono', '811199', 194000, 194000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12839, '66920064', '2003', '12839', '20030415', '20030412', '', 'Isteri', 'RS Tumbuh Kembang', '811199', 146400, 146400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12840, '68960412', '2003', '12840', '20030415', '20030412', 'Michelle Shan C.', 'Anak I', 'dr Jeanne', '811199', 447500, 258525, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12841, '62920050', '2003', '12841', '20030415', '20030413', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12842, '61920040', '2003', '12842', '20030415', '20030414', 'Ilham Idris Ardiansyah Pulungan', 'Anak II', 'dr Leopold', '811199', 259100, 259100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12843, '74950356', '2003', '12843', '20030415', '20030412', 'Thifal N.', 'Anak II', 'dr Erik Umbas', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12844, '73960391', '2003', '12844', '20030415', '20030404', 'Rita Aryana', 'Isteri', 'dr Retno Adi', '811199', 649500, 649500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12845, '66920106', '2003', '12845', '20030415', '20030405', 'Fitriani', 'Isteri', 'dr Fitrah', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12846, '66920067', '2003', '12846', '20030415', '20030408', 'Deny Waty Djaafar', 'Isteri', 'dr Ita Herawati', '811199', 340500, 340500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12847, '51980512', '2003', '12847', '20030415', '20030407', '', 'Pegawai', 'Klinik Al-Afiz', '811199', 546600, 546600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12848, '70960409', '2003', '12848', '20030415', '20030411', '', 'Pegawai', 'dr Elfrida', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12849, '69940161', '2003', '12849', '20030415', '20030413', 'Kalista Adjani', 'Anak II', 'drTin ST', '811199', 194500, 194500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12850, '69000692', '2003', '12850', '20030415', '20030401', 'Abilaras Cirarani', 'Anak I', 'dr Rachmat', '811199', 387500, 387500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12851, '73021088', '2003', '12851', '20030415', '20030410', '', 'Isteri', 'dr Rudy', '811199', 23000, 23000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12852, '73010870', '2003', '12852', '20030415', '20030406', '', 'Pegawai', 'Klinik M Djoko', '811199', 156050, 156050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12853, '72099654', '2003', '12853', '20030415', '20030328', '', 'Isteri', 'Prakter Kedungsari', '811199', 311600, 311600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12854, '75031490', '2003', '12854', '20030415', '20030318', '', 'Pegawai', 'dr I Made Wisnu', '811199', 104700, 104700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12855, '66920026', '2003', '12855', '20030415', '20030413', 'Ngakan Made Prakasa Judha', 'Anak II', 'RSIB', '811199', 315700, 315700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12856, '78990600', '2003', '12856', '20030415', '20030411', '', 'Pegawai', 'dr Susetyo', '811199', 590000, 590000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12857, '70940155', '2003', '12857', '20030415', '20030411', '', 'Pegawai', 'Klinik Embun', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12858, '66980545', '2003', '12858', '20030415', '20030404', 'Rika Waisulkarni', 'Isteri', 'Denta Medika', '811199', 453700, 453700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12859, '64980559', '2003', '12859', '20030415', '20030409', 'Virtiany Pradawani', 'Anak I', 'KF Tanjung Duren', '811199', 391000, 391000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12860, '57910014', '2003', '12860', '20030415', '20030413', 'Amir Shiddiq', 'Anak I', 'dr Yacob', '811199', 166000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12861, '62920017', '2003', '12861', '20030415', '20030411', 'Hadidjah Sansono', 'Isteri', 'RS Tria  Dipa', '811199', 395820, 395820, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12862, '69960396', '2003', '12862', '20030422', '20030414', 'Dhiwi Susanti', 'Isteri', 'Puri Medika', '811199', 143500, 143500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12863, '17300901', '2003', '12863', '20030422', '20030416', '', 'Isteri', 'RS Hermina', '811199', 168200, 168200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12864, '71960398', '2003', '12864', '20030422', '20030405', '', 'Isteri', 'RS Graha M', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12865, '67950193', '2003', '12865', '20030420', '20030420', 'Cut Yellynawati', 'Isteri', 'Klinik Buncit', '811199', 86000, 86000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12866, '65980564', '2003', '12866', '20030422', '20030414', 'Neni Nuraeni', 'Isteri', 'RS Hermina', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12867, '62910013', '2003', '12867', '20030422', '20030417', '', 'Anak I', 'dr Prasetyo', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12868, '72950363', '2003', '12868', '20030422', '20030414', '', 'Pegawai', 'RSB YPK', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12869, '63970464', '2003', '12869', '20030422', '20030415', '', 'Pegawai', 'dr Tjhin', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12870, '63950190', '2003', '12870', '20030422', '20030414', '', 'Anak I', 'RS Tebet', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12871, '62920060', '2003', '12871', '20030422', '20030415', '', 'Anak III', 'dr M Ahmad', '811199', 382050, 382050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12872, '70930144', '2003', '12872', '20030422', '20030415', '', 'Pegawai', 'drg Endang', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12873, '57910014', '2003', '12873', '20030422', '20030418', 'Suwarni', 'Isteri', 'dr Gunawan', '811199', 334800, 334800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12874, '66950355', '2003', '12874', '20030422', '20030414', '', 'Isteri', 'dr F Partono', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12875, '66970495', '2003', '12875', '20030422', '20030420', '', 'Pegawai', 'dr Soeprapto', '811199', 102200, 102200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12876, '71950367', '2003', '12876', '20030422', '20030412', 'Astina Dahlia M.', 'Isteri', 'RS Cikini', '811199', 459100, 459100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12877, '60920075', '2003', '12877', '20030422', '20030415', 'Harmien Citra Gayatri', 'Anak II', 'dr Tadjudin', '811199', 657500, 657500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12878, '60960384', '2003', '12878', '20030422', '20030415', 'Wayan Martini', 'Isteri', 'RS Hermina', '811199', 149470, 149470, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12879, '65920033', '2003', '12879', '20030422', '20030415', 'Sambas Adhiyasa', 'Anak I', 'dr Anwar', '811199', 360500, 360500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12880, '66970473', '2003', '12880', '20030422', '20030415', '', 'Pegawai', 'RS MMC', '811199', 280000, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12881, '61920069', '2003', '12881', '20030422', '20030415', 'Nabila Maharani', 'Anak III', 'Aptk Sarika', '811199', 244350, 244350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12882, '65960408', '2003', '12882', '20030422', '20030420', 'De Alzaro Nir Inszapuysho', 'Anak I', 'Praktek Retno', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12883, '70000684', '2003', '12883', '20030422', '20030415', '', 'Anak II', 'dr Gatami', '811199', 109300, 109300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12884, '73021081', '2003', '12884', '20030422', '20030421', '', 'Isteri', 'RS Bethesda', '811199', 603550, 603550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12885, '70980554', '2003', '12885', '20030422', '20030416', '', 'Pegawai', 'dr Retno WS', '811199', 612200, 612200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12886, '66010859', '2003', '12886', '20030422', '20030417', 'Maulida A.', 'Anak II', 'Klinik Sasanty', '811199', 155500, 155500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12887, '73000708', '2003', '12887', '20030422', '20030419', 'Rani Avianti', 'Isteri', 'RS Puri Cinere', '811199', 484200, 484200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12888, '17300761', '2003', '12888', '20030422', '20030417', '', 'Pegawai', 'Apk Sigarindo', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12889, '61920038', '2003', '12889', '20030422', '20030409', '', 'Pegawai', 'RSCM', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12890, '71960437', '2003', '12890', '20030422', '20030404', 'Nadya Agustina', 'Anak I', 'Bunda Auni II', '811199', 150000, 60300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12891, '69021141', '2003', '12891', '20030422', '20030416', '', 'Anak I', 'RS Yadika', '811199', 67500, 67500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12892, '67960411', '2003', '12892', '20030422', '20030419', 'Endang Kuspringati S', 'Isteri', 'RS Bhineka', '811199', 217500, 217500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12893, '68000760', '2003', '12893', '20030422', '20030410', '', 'Pegawai', 'dr Retno', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12894, '60950354', '2003', '12894', '20030422', '20030414', '', 'Pegawai', 'dr Pudji', '811199', 137500, 137500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12895, '68950221', '2003', '12895', '20030422', '20030419', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12896, '61920038', '2003', '12896', '20030422', '20030409', '', 'Pegawai', 'Apk Melawai', '811199', 357000, 357000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12897, '65950196', '2003', '12897', '20030422', '20030415', '', 'Pegawai', 'dr Martha', '811199', 52200, 52200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12898, '71940159', '2003', '12898', '20030422', '20030421', '', 'Pegawai', 'dr Titi M', '811199', 347625, 347625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12899, '69000669', '2003', '12899', '20030422', '20030416', '', 'Anak I', 'RS Tria Dipa', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12900, '59950195', '2003', '12900', '20030422', '20030407', 'Lisbet Morliner', 'Isteri', 'drg Mulyati', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12901, '71990574', '2003', '12901', '20030422', '20030416', '', 'Pegawai', 'RS Hermina', '811199', 182000, 182000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12902, '68000752', '2003', '12902', '20030422', '20030415', '', 'Pegawai', 'JMC', '811199', 660000, 660000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12903, '70920034', '2003', '12903', '20030422', '20030416', '', 'Pegawai', 'drg Ita S', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12904, '65920018', '2003', '12904', '20030422', '20030421', 'Aslha', 'Anak III', 'dr Racmat', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12905, '64010984', '2003', '12905', '20030422', '20030415', '', 'Anak I', 'dr Budi Y', '811199', 465400, 465400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12906, '17700818', '2003', '12906', '20030422', '20030414', '', 'Pegawai', 'dr Boentayan', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12907, '17700818', '2003', '12907', '20030422', '20030414', '', 'Pegawai', 'dr Boentayan', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12908, '72000763', '2003', '12908', '20030422', '20030412', '', 'Pegawai', 'Klinik JMC', '811199', 96400, 96400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12909, '70930144', '2003', '12909', '20030422', '20030415', '', 'Pegawai', 'dr Sawitri', '811199', 243021, 243021, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12910, '66950355', '2003', '12910', '20030422', '20030225', '', 'Isteri', 'RS Dharmais', '811199', 35420, 35420, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12911, '70990648', '2003', '12911', '20030425', '20030424', 'Faizah Rahmah Izzatudini', 'Anak I', 'BKR-MKGR', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12912, '61950175', '2003', '12912', '20030425', '20030421', '', 'Anak III', 'RS Tumbuh K', '811199', 176600, 176600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12913, '77021138', '2003', '12913', '20030425', '20030420', '', 'Pegawai', 'Remedika Bintaro', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12914, '66920074', '2003', '12914', '20030425', '20030331', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 232000, 232000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12915, '63970478', '2003', '12915', '20030425', '20030423', '', 'Pegawai', 'Klinik satiti', '811199', 347000, 309000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12916, '66970473', '2003', '12916', '20030425', '20030421', '', 'Pegawai', 'Yay Bina Sht', '811199', 71000, 71000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12917, '64950185', '2003', '12917', '20030425', '20030423', '', 'Anak I', 'Mdk Bayuadji', '811199', 212800, 212800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12918, '69021086', '2003', '12918', '20030425', '20030419', '', 'Anak I', 'Mary MPC', '811199', 198500, 198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12919, '64950185', '2003', '12919', '20030425', '20030412', '', 'Isteri', 'RS Prikasih', '811199', 182000, 182000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12920, '16801896', '2003', '12920', '20030425', '20030422', '', 'Anak I', 'dr Adnan S', '811199', 74000, 74000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12921, '70970480', '2003', '12921', '20030425', '20030417', '', 'Anak I', 'dr Loky', '811199', 324500, 324500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12922, '77000672', '2003', '12922', '20030425', '20030420', '', 'Pegawai', 'RS Honoris', '811199', 170100, 170100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12923, '71990647', '2003', '12923', '20030425', '20030321', '', 'Anak II', 'Pol HR Kita', '811199', 141000, 141000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12924, '61000731', '2003', '12924', '20030425', '20030331', 'Rio Avicenna Syamil', 'Anak II', 'RS Barromeus', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12925, '66920064', '2003', '12925', '20030425', '20030417', '', 'Pegawai', 'drg Stefanus S', '811199', 1139400, 1139400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12926, '65000730', '2003', '12926', '20030425', '20030407', '', 'Pegawai', 'RS Boromeus', '811199', 568700, 568700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12927, '70970480', '2003', '12927', '20030425', '20030424', '', 'Anak I', 'dr Suharyono', '811199', 180600, 180600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12928, '68950221', '2003', '12928', '20030425', '20030421', 'Kevin Tria Nugroho', 'Anak I', 'dr Tjejep', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12929, '64930110', '2003', '12929', '20030425', '20030407', '', 'Isteri', 'Yay Yurino', '811199', 489200, 489200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12930, '74990649', '2003', '12930', '20030425', '20030417', '', 'Pegawai', 'dr Krisna Murni', '811199', 331800, 331800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12931, '69960396', '2003', '12931', '20030425', '20030422', '', 'Pegawai', 'JMC', '811199', 70600, 70600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12932, '57990576', '2003', '12932', '20030425', '20030421', 'Marga Bimo Haryadi', 'Anak I', 'RS Mitra Intrll', '811199', 964500, 964500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12933, '77000678', '2003', '12933', '20030425', '20030410', '', 'Pegawai', 'dr Setiadi K', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12934, '76960435', '2003', '12934', '20030425', '20030421', '', 'Pegawai', 'drg Ratna', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12935, '16801865', '2003', '12935', '20030425', '20030419', '', 'Anak I', 'RS Mary', '811199', 57600, 57600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12936, '27400906', '2003', '12936', '20030425', '20030418', '', 'Anak I', 'dr H zainal', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12937, '16801865', '2003', '12937', '20030425', '20030424', '', 'Anak I', 'RS Mary', '811199', 118900, 118900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12938, '62920050', '2003', '12938', '20030425', '20030416', 'Ajeng Amaliah G', 'Anak I', 'Pav Kartika', '811199', 153840, 153840, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12939, '69960413', '2003', '12939', '20030425', '20030422', '', 'Pegawai', 'dr Yustin', '811199', 242000, 242000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12940, '74000792', '2003', '12940', '20030425', '20030421', '', 'Pegawai', 'dr Budi Hartati', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12941, '75020001', '2003', '12941', '20030425', '20030302', '', '', 'RB BKIA Poliklinik', '811199', 52500, 52500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12942, '63950190', '2003', '12942', '20030425', '20030421', '', 'Pegawai', 'RS Pertamina', '811199', 956508, 956508, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12943, '64960394', '2003', '12943', '20030429', '20030326', '', 'Pegawai', 'dr Rudy A', '811199', 1374000, 383500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12944, '64930120', '2003', '12944', '20030429', '20030411', '', 'Pegawai', 'dr eis Dental', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12945, '68960388', '2003', '12945', '20030425', '20030425', 'Indriani', 'Isteri', 'RS Medistra', '811199', 356550, 356550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12946, '59021080', '2003', '12946', '20030429', '20030426', '', 'Anak I', 'RS Hermina', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12947, '77000672', '2003', '12947', '20030429', '20030426', '', 'Pegawai', 'RS Siloam', '811199', 129735, 129735, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12948, '70940155', '2003', '12948', '20030429', '20030422', '', 'Pegawai', 'Klinik Embun', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12949, '70930144', '2003', '12949', '20030429', '20030426', '', 'Pegawai', 'drg Endang', '811199', 674800, 674800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12950, '71990660', '2003', '12950', '20030429', '20030419', '', 'Anak I', 'dr Asaat', '811199', 165660, 165660, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12951, '17098565', '2003', '12951', '20030429', '20030428', '', 'Anak I', 'RS Hermina', '811199', 146806, 146806, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12952, '72000794', '2003', '12952', '20030429', '20030417', '', 'Isteri', 'dr Winny', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12953, '71980551', '2003', '12953', '20030429', '20030423', '', 'Pegawai', 'Apk Bunderan', '811199', 413000, 413000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12954, '70970475', '2003', '12954', '20030429', '20030426', '', 'Isteri', 'RS Hermina', '811199', 456400, 456400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12955, '66970473', '2003', '12955', '20030429', '20030427', '', 'Pegawai', 'Yay Bina Sehat', '811199', 149500, 149500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12956, '17098565', '2003', '12956', '20030429', '20030424', '', 'Isteri', 'dr Budhy Gunawan', '811199', 164000, 164000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12957, '66950191', '2003', '12957', '20030429', '20030421', '', 'Pegawai', 'RSPI', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12958, '72950205', '2003', '12958', '20030429', '20030426', 'Rony Romelah', 'Isteri', 'Aptk Tumbuh Kembang', '811199', 67600, 67600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12959, '65930147', '2003', '12959', '20030429', '20030425', 'Kristina Nursanti', 'Isteri', 'RS Harum', '811199', 167051, 167051, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12960, '66920029', '2003', '12960', '20030429', '20030423', 'Abyan Habib Yuntoharjo', 'Anak III', 'drg Elon Abdul', '811199', 284000, 284000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12961, '71960403', '2003', '12961', '20030429', '20030415', '', 'Pegawai', 'drg Albertus Eka', '811199', 406100, 406100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12962, '73000759', '2003', '12962', '20030429', '20030423', '', 'Pegawai', 'drg Rina', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12963, '61930128', '2003', '12963', '20030429', '20030425', 'A. Retno M', 'Isteri', 'RSPI', '811199', 219511, 219511, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12964, '69940161', '2003', '12964', '20030429', '20030426', '', 'Pegawai', 'dr Irwan Rauf', '811199', 828100, 828100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12965, '68960412', '2003', '12965', '20030429', '20030415', '', 'Pegawai', 'drg Ratna', '811199', 15000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12966, '72000696', '2003', '12966', '20030429', '20030426', '', 'Anak I', 'RS Hermina', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12967, '74000719', '2003', '12967', '20030429', '20030425', '', 'Pegawai', 'RS Bunda', '811199', 155400, 155400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12968, '78031489', '2003', '12968', '20030429', '20030428', '', 'Pegawai', 'dr Fenny', '811199', 15000, 15000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12969, '73000759', '2003', '12969', '20030429', '20030426', '', 'Pegawai', 'drg Rina', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12970, '63920052', '2003', '12970', '20030429', '20030427', '', 'Anak I', 'dr Sumarno', '811199', 336800, 336800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12971, '78031437', '2003', '12971', '20030422', '20030408', '', 'Pegawai', 'dr Arnold', '811199', 168000, 168000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12972, '73021143', '2003', '12972', '20030422', '20030308', '', 'Pegawai', 'dr Joni', '811199', 193300, 193300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12973, '78031442', '2003', '12973', '20030422', '20030324', '', 'Pegawai', 'RS Pershbatan', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12974, '78021087', '2003', '12974', '20030422', '20030415', '', 'Pegawai', 'dr Prmanawati', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12975, '16801896', '2003', '12975', '20030502', '20030501', '', 'Pegawai', 'RS Atmajaya', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12976, '65930147', '2003', '12976', '20030502', '20030429', '', 'Anak I', 'RS Harum', '811199', 82150, 82150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12977, '62920060', '2003', '12977', '20030502', '20030429', '', 'Pegawai', 'dr Firdaus S', '811199', 852400, 246882, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12978, '72099654', '2003', '12978', '20030502', '20030430', '', 'Pegawai', 'JMC', '811199', 45800, 45800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12979, '77000678', '2003', '12979', '20030502', '20030421', '', 'Pegawai', 'RS Medistra', '811199', 129400, 129400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12980, '68950174', '2003', '12980', '20030502', '20030228', '', 'Anak I', 'dr Endang Poerwati', '811199', 131240, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12981, '63970476', '2003', '12981', '20030502', '20030429', '', 'Pegawai', 'Ladokgi', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12982, '70950204', '2003', '12982', '20030502', '20030425', 'Rustini', 'Isteri', 'dr Djamal', '811199', 197300, 197300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12983, '16801896', '2003', '12983', '20030502', '20030428', '', 'Anak I', 'RS Atmajaya', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12984, '71011018', '2003', '12984', '20030502', '20030427', '', 'Isteri', 'Yay Yudhasakti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12985, '69960396', '2003', '12985', '20030502', '20030429', '', 'Anak I', 'JMC', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12986, '68000752', '2003', '12986', '20030502', '20030425', 'Sri Siswanti SH', 'Isteri', 'RSPI', '811199', 578954, 488008, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12987, '60950189', '2003', '12987', '20030502', '20030420', '', 'Pegawai', 'Karya Husada', '811199', 353000, 353000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12988, '63970483', '2003', '12988', '20030502', '20030422', '', 'Anak I', 'dr Abdurahmad', '811199', 295000, 295000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12989, '16801865', '2003', '12989', '20030502', '20030425', '', 'Anak I', 'RS Mary', '811199', 37000, 37000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12990, '75010905', '2003', '12990', '20030502', '20030416', '', 'Pegawai', 'dr Retno WS', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12991, '96080022', '2003', '12991', '20030502', '20030322', '', 'Pegawai', 'dr Amir', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12992, '96080022', '2003', '12992', '20030502', '20030328', '', 'Pegawai', 'Bidan Nuriyah', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12993, '75021078', '2003', '12993', '20030502', '20030407', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12994, '65970472', '2003', '12994', '20030502', '20030426', '', 'Pegawai', 'RS Graha Medika', '811199', 402000, 402000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12995, '57930113', '2003', '12995', '20030502', '20030427', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 810000, 810000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12996, '64960402', '2003', '12996', '20030502', '20030430', '', 'Pegawai', 'Apotik Melawai', '811199', 500300, 500300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12997, '67940157', '2003', '12997', '20030502', '20030409', '', 'Anak I', 'Prof dr H Husein', '811199', 270500, 270500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12998, '57930113', '2003', '12998', '20030502', '20030427', 'Dewi Marlini', 'Isteri', 'Aptk Melawai', '811199', 248650, 248650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (12999, '72031488', '2003', '12999', '20030506', '20030430', '', 'Pegawai', 'RS Tria Dipa', '811199', 236385, 236385, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13000, '70950177', '2003', '13000', '20030502', '20030428', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 137100, 137100, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 13001 - 13500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13001, '65960416', '2003', '13001', '20030502', '20030425', 'Meity Muljati', 'Isteri', 'dr Ahmad Zaenudin', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13002, '61930128', '2003', '13002', '20030502', '20030429', 'R. Raditya M.L', 'Anak I', 'RSPI', '811199', 74900, 74900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13003, '66000735', '2003', '13003', '20030502', '20030415', '', 'Pegawai', 'JMC', '811199', 28300, 28300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13004, '74000725', '2003', '13004', '20030502', '20030429', '', 'Pegawai', 'JMC', '811199', 59000, 59000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13005, '57910014', '2003', '13005', '20030502', '20030429', 'Suwarni', 'Isteri', 'dr Yacob', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13006, '75031490', '2003', '13006', '20030502', '20030411', '', 'Pegawai', 'dr I Made Wisnu', '811199', 176100, 176100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13007, '62920017', '2003', '13007', '20030502', '20030425', 'Hadidjah Sansono', 'Isteri', 'RS Tria Dipa', '811199', 189005, 189005, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13008, '72950364', '2003', '13008', '20030502', '20030429', '', 'Pegawai', 'RS OMC', '811199', 203100, 203100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13009, '71990647', '2003', '13009', '20030502', '20030421', '', 'Anak II', 'Pol HR Kita', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13010, '59920104', '2003', '13010', '20030502', '20030328', 'Abraham Setiawan', 'Anak I', 'RS Mitra', '811199', 989800, 989800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13011, '66920026', '2003', '13011', '20030502', '20030413', 'Sang Ayu Baktiasih', 'Isteri', 'Aptk Global M', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13012, '64980559', '2003', '13012', '20030502', '20030425', '', 'Pegawai', 'dr Tinawati', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13013, '', '2003', '13013', '20030506', '20030308', '', 'Anak I', 'Aptk Yanti', '811199', 117100, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13014, '', '2003', '13014', '20030506', '20030428', '', 'Isteri', 'dr Adriana', '811199', 534400, 534400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13015, '69970477', '2003', '13015', '20030506', '20030430', '', 'Pegawai', 'drg Gina R', '811199', 384000, 384000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13016, '65960348', '2003', '13016', '20030506', '20030429', '', 'Pegawai', 'RS MMC', '811199', 306154, 306154, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13017, '71960398', '2003', '13017', '20030506', '20030503', '', 'Isteri', 'RS Graha M', '811199', 142500, 142500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13018, '57920024', '2003', '13018', '20030506', '20030503', '', 'Anak I', 'RS Mitra', '811199', 466200, 466200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13019, '64970465', '2003', '13019', '20030506', '20030504', '', 'Pegawai', 'JMC', '811199', 59800, 59800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13020, '74031438', '2003', '13020', '20030506', '20030503', '', 'Pegawai', 'dr Naswanto', '811199', 272600, 272600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13021, '72000703', '2003', '13021', '20030506', '20030502', '', 'Pegawai', 'PK St Carolus', '811199', 964335, 964335, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13022, '65970482', '2003', '13022', '20030506', '20030505', '', 'Pegawai', 'dr Bambang', '811199', 41000, 41000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13023, '66920064', '2003', '13023', '20030506', '20030504', '', 'Anak I', 'dr Rini Teguh', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13024, '62910008', '2003', '13024', '20030506', '20030502', 'Baldomero S. G.', 'Anak I', 'RS Pondok Indah', '811199', 307400, 307400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13025, '63950190', '2003', '13025', '20030506', '20030504', '', 'Anak I', 'Klinik Artha Sari', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13026, '66950355', '2003', '13026', '20030506', '20030426', '', 'Pegawai', 'dr Lembah Redati', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13027, '72000794', '2003', '13027', '20030506', '20030430', '', 'Pegawai', 'dr Mun', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13028, '74021263', '2003', '13028', '20030506', '20030503', '', 'Anak I', 'dr Bambang', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13029, '71011018', '2003', '13029', '20030506', '20030503', '', 'Anak I', 'Klinik Bimasakti', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13030, '73010858', '2003', '13030', '20030506', '20030503', '', 'Pegawai', 'RSIA Tri Mitra', '811199', 391300, 391300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13031, '43950002', '2003', '13031', '20030506', '20030430', '', 'Pegawai', '', '811199', 2218350, 2218350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13032, '43950002', '2003', '13032', '20030519', '20030509', '', 'Pegawai', '', '811199', 3543800, 3543800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13033, '72031488', '2003', '13033', '20030506', '20030501', '', 'Pegawai', 'Pav. Kartika', '811199', 128200, 128200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13034, '81042279', '2003', '13034', '20030506', '20030505', '', 'Pegawai', 'aptk ujang', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13035, '66920064', '2003', '13035', '20030509', '20030507', '', 'Anak I', 'dr Rini Teguh', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13036, '74970450', '2003', '13036', '20030509', '20030507', '', 'Pegawai', 'RS Medistra', '811199', 68500, 68500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13037, '59021080', '2003', '13037', '20030509', '20030502', '', 'Pegawai', 'Aptk Erra Medika', '811199', 68100, 68100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13038, '65960379', '2003', '13038', '20030509', '20030505', 'Muhammad Kemal Ramadhan', 'Anak I', 'Prof. Suharyono', '811199', 214000, 214000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13039, '62920050', '2003', '13039', '20030509', '20030503', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 134800, 134800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13040, '58000840', '2003', '13040', '20030509', '20030429', '', 'Anak I', 'dr Admiller', '811199', 92600, 92600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13041, '58000840', '2003', '13041', '20030509', '20030404', '', 'Anak I', 'dr Admiller', '811199', 70500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13042, '70950199', '2003', '13042', '20030509', '20030426', '', 'Pegawai', 'dr Widayanto', '811199', 423200, 423200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13043, '63970464', '2003', '13043', '20030509', '20030502', '', 'Pegawai', 'Balai Karya Bakti', '811199', 87500, 87500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13044, '69940161', '2003', '13044', '20030509', '20030502', 'Kalista Adjani', 'Anak II', 'dr Tin S T', '811199', 157800, 157800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13045, '65000730', '2003', '13045', '20030509', '20030426', '', 'Pegawai', 'RS Baromeus', '811199', 194900, 194900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13046, '75021078', '2003', '13046', '20030509', '20030430', 'Natasya', 'Anak I', 'BKR MKGR', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13047, '64010984', '2003', '13047', '20030509', '20030508', '', 'Isteri', 'dr Irwin Z', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13048, '69021086', '2003', '13048', '20030509', '20030508', '', 'Anak I', 'dr Handarmi', '811199', 120200, 120200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13049, '65950196', '2003', '13049', '20030509', '20030508', '', 'Pegawai', 'dr Martha', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13050, '66950220', '2003', '13050', '20030509', '20030504', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13051, '65930143', '2003', '13051', '20030509', '20030507', 'Wiandra Bagus Wicaksono', 'Anak II', 'RS Int,l Bintaro', '811199', 633000, 633000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13052, '67970469', '2003', '13052', '20030509', '20030503', '', 'Pegawai', 'drg Gina', '811199', 618000, 618000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13053, '65010987', '2003', '13053', '20030509', '20030417', '', 'Isteri', 'dr Abdullah', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13054, '61920045', '2003', '13054', '20030509', '20030503', '', 'Anak I', 'RS Tugu Ibu', '811199', 481800, 481800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13055, '64950185', '2003', '13055', '20030509', '20030503', '', 'Isteri', 'RS Prikasih', '811199', 409500, 409500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13056, '76960435', '2003', '13056', '20030509', '20030501', '', 'Pegawai', 'drg Febriyanti', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13057, '66970495', '2003', '13057', '20030509', '20030504', '', 'Anak I', 'dr Soeprapto', '811199', 134500, 134500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13058, '72950205', '2003', '13058', '20030509', '20030506', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 165900, 165900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13059, '58000807', '2003', '13059', '20030509', '20030503', 'Fitria', 'Anak I', 'dr Rivai', '811199', 72500, 72500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13060, '72099654', '2003', '13060', '20030509', '20030424', '', 'Isteri', 'Praktek Kedung Sari', '811199', 106300, 106300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13061, '72021050', '2003', '13061', '20030509', '20030505', '', 'Pegawai', 'RS Sakti Medika', '811199', 610000, 610000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13062, '75020004', '2003', '13062', '20030509', '20030417', '', 'Isteri', 'RS Siaga Dua', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13063, '68000760', '2003', '13063', '20030509', '20030430', 'M. Azry Zulfiqar', 'Anak I', 'dr Retno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13064, '17702001', '2003', '13064', '20030509', '20030507', '', 'Pegawai', 'Aptk VIT', '811199', 34800, 34800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13065, '63920052', '2003', '13065', '20030509', '20030506', '', 'Anak I', 'dr Budi', '811199', 334000, 334000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13066, '67950193', '2003', '13066', '20030509', '20030504', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'Klinik Buncit Raya', '811199', 79500, 79500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13067, '66920073', '2003', '13067', '20030509', '20030506', '', 'Pegawai', 'Klinik Limus', '811199', 123000, 123000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13068, '66920073', '2003', '13068', '20030509', '20030430', '', 'Anak I', 'dr Hartaniah', '811199', 479900, 479900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13069, '76021132', '2003', '13069', '20030519', '20030502', '', 'Pegawai', 'Bina Caringin', '811199', 42700, 42700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13070, '71021131', '2003', '13070', '20030519', '20030421', '', 'Pegawai', 'Cera Farma', '811199', 455800, 455800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13071, '68960412', '2003', '13071', '20030519', '20030512', '', 'Pegawai', 'drg Ratna', '811199', 60000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13072, '68960412', '2003', '13072', '20030519', '20030503', '', 'Pegawai', 'Klinik Satiti', '811199', 81000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13073, '59920056', '2003', '13073', '20030519', '20030423', 'Marsifatmi Iriani', 'Isteri', 'Selasih Medika', '811199', 410000, 410000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13074, '74990649', '2003', '13074', '20030519', '20030509', '', 'Pegawai', 'drg Faye A', '811199', 487500, 487500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13075, '65960399', '2003', '13075', '20030519', '20030509', 'Mariam', 'Isteri', 'RS Hermina', '811199', 354680, 354680, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13076, '69950222', '2003', '13076', '20030519', '20030421', 'Jacinta', 'Anak I', 'dr Sofyan', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13077, '65920033', '2003', '13077', '20030519', '20030513', 'Eti Karyati', 'Isteri', 'dr Agus', '811199', 185900, 185900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13078, '67950203', '2003', '13078', '20030519', '20030513', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Raifa', '811199', 346000, 346000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13079, '73000759', '2003', '13079', '20030519', '20030512', '', 'Pegawai', 'drg Rina', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13080, '60930116', '2003', '13080', '20030519', '20030502', '', 'Isteri', 'dr Munawar', '811199', 2827950, 2827950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13081, '17702001', '2003', '13081', '20030519', '20030502', '', 'Pegawai', 'JMC', '811199', 54400, 54400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13082, '68000760', '2003', '13082', '20030519', '20030510', 'M. Azry Zulfiqar', 'Anak I', 'dr Retno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13083, '69021141', '2003', '13083', '20030519', '20030503', 'Vanya', 'Anak I', 'dr Ellen', '811199', 229000, 229000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13084, '74021263', '2003', '13084', '20030519', '20030507', '', 'Anak II', 'dr Esnawan', '811199', 323250, 323250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13085, '69000669', '2003', '13085', '20030519', '20030509', '', 'Anak I', 'RSTria Dipa', '811199', 101300, 101300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13086, '70960409', '2003', '13086', '20030519', '20030511', '', 'Pegawai', 'RS Bakti Husada', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13087, '17098565', '2003', '13087', '20030519', '20030508', '', 'Isteri', 'dr Budi Gunawan', '811199', 293850, 293850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13088, '61970468', '2003', '13088', '20030519', '20030512', '', 'Pegawai', 'RS Harapan Kita', '811199', 90300, 90300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13089, '66990584', '2003', '13089', '20030519', '20030512', '', 'Pegawai', 'drg Dicky F', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13090, '66920106', '2003', '13090', '20030519', '20030510', 'Fitriani', 'Isteri', 'dr Fitrah', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13091, '59021080', '2003', '13091', '20030519', '20030513', '', 'Isteri', 'dr Jenny B', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13092, '68930133', '2003', '13092', '20030519', '20030507', '', 'Pegawai', 'dr Jetty H', '811199', 465000, 465000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13093, '68960388', '2003', '13093', '20030519', '20030509', 'Indriani', 'Isteri', 'RS Medistra', '811199', 451600, 451600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13094, '70950214', '2003', '13094', '20030519', '20030513', '', 'Pegawai', 'Ladokgi TNI-AL', '811199', 677600, 677600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13095, '69970477', '2003', '13095', '20030519', '20030514', '', 'Pegawai', 'drg Gina R', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13096, '68950221', '2003', '13096', '20030519', '20030517', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 329085, 329085, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13097, '66920029', '2003', '13097', '20030519', '20030419', 'Yunsari', 'Isteri', 'dr Marwoto P', '811199', 145000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13098, '66990584', '2003', '13098', '20030519', '20030514', '', 'Pegawai', 'drg Dicky F', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13099, '66920073', '2003', '13099', '20030519', '20030511', 'Imam Haris', 'Anak I', 'Klinik Kids World', '811199', 1737000, 1727800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13100, '69960382', '2003', '13100', '20030519', '20030514', '', 'Pegawai', 'Prima Medika', '811199', 376000, 376000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13101, '76960435', '2003', '13101', '20030519', '20030513', '', 'Pegawai', 'drg Febriyanti', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13102, '75990602', '2003', '13102', '20030519', '20030515', '', 'Pegawai', 'Aptk Rini', '811199', 148800, 148800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13103, '71990647', '2003', '13103', '20030519', '20030505', '', 'Anak II', 'RS HR Kita', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13104, '57930146', '2003', '13104', '20030519', '20030516', '', 'Anak I', 'RS Dharma Nugraha', '811199', 270500, 270500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13105, '67930149', '2003', '13105', '20030519', '20030514', '', 'Pegawai', 'RS Medistra', '811199', 241800, 241800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13106, '74970450', '2003', '13106', '20030519', '20030509', '', 'Pegawai', 'RSIA Hermina', '811199', 217500, 217500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13107, '64950219', '2003', '13107', '20030519', '20030502', '', 'Pegawai', 'drg Idani A', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13108, '56950201', '2003', '13108', '20030519', '20030512', 'Devi Winingsih', 'Anak I', 'Yay Citama', '811199', 948000, 948000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13109, '63970476', '2003', '13109', '20030519', '20030514', '', 'Pegawai', 'Ladokgi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13110, '60970471', '2003', '13110', '20030519', '20030428', 'Mazaya Nauli', 'Anak I', 'dr S Poedjo', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13111, '53920027', '2003', '13111', '20030519', '20030512', '', 'Pegawai', 'drg Elisabeth', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13112, '69980544', '2003', '13112', '20030519', '20030508', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 84500, 84500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13113, '71980506', '2003', '13113', '20030519', '20030510', '', 'Pegawai', 'dr Nugroho', '811199', 231900, 231900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13114, '67950203', '2003', '13114', '20030519', '20030510', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Raifa', '811199', 187000, 187000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13115, '72000703', '2003', '13115', '20030519', '20030510', '', 'Pegawai', 'RS Medistra', '811199', 312200, 312200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13116, '61950175', '2003', '13116', '20030519', '20030507', '', 'Anak III', 'RS Hermina', '811199', 323900, 323900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13117, '64930110', '2003', '13117', '20030519', '20030502', '', 'Isteri', 'drg Shinta Wibowo', '811199', 280000, 280000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13118, '71940159', '2003', '13118', '20030519', '20030509', '', 'Pegawai', 'dr Eva Y', '811199', 365000, 365000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13119, '74950356', '2003', '13119', '20030519', '20030504', 'Thifal N.', 'Anak II', 'dr H Affandi', '811199', 343000, 343000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13120, '68950221', '2003', '13120', '20030519', '20030421', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13121, '66970463', '2003', '13121', '20030519', '20030512', '', 'Pegawai', 'dr Oemi Alifa', '811199', 252200, 252200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13122, '74000719', '2003', '13122', '20030519', '20030502', '', 'Pegawai', 'RS Bunda', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13123, '61950175', '2003', '13123', '20030519', '20030516', 'Novana Nisrina W', 'Anak I', 'dr Azwir Z', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13124, '62920044', '2003', '13124', '20030523', '20030522', '', 'Isteri', 'Aptk Kramat Jati', '811199', 182200, 182200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13125, '16801865', '2003', '13125', '20030523', '20030522', '', 'Anak I', 'dr Anasry', '811199', 192200, 192200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13126, '17098565', '2003', '13126', '20030523', '20030517', '', 'Isteri', 'RS Hermina', '811199', 412445, 412445, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13127, '71960389', '2003', '13127', '20030523', '20030509', '', 'Pegawai', 'RS Mitra Internasional', '811199', 267300, 267300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13128, '71970498', '2003', '13128', '20030523', '20030427', '', 'Pegawai', 'dr Senopati', '811199', 76550, 76550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13129, '71970498', '2003', '13129', '20030523', '20030421', '', 'Pegawai', 'RS Bersalin Asih', '811199', 185000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13130, '72031488', '2003', '13130', '20030523', '20030522', '', 'Pegawai', 'Pav.Kartika', '811199', 215888, 215888, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13131, '62920050', '2003', '13131', '20030523', '20030521', 'Ajeng Amaliah G', 'Anak I', 'dr Leopold', '811199', 154400, 154400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13132, '62920050', '2003', '13132', '20030523', '20030519', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 99000, 99000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13133, '72950363', '2003', '13133', '20030523', '20030521', '', 'Pegawai', 'Kuningan Med.Specialist', '811199', 870000, 870000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13134, '66920064', '2003', '13134', '20030323', '20030509', '', 'Anak I', 'dr Rini Teguh', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13135, '66010859', '2003', '13135', '20030523', '20030520', '', 'Pegawai', 'Bhakti Sakti', '811199', 356000, 356000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13136, '74970450', '2003', '13136', '20030523', '20030519', '', 'Pegawai', 'RS Medistra', '811199', 839200, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13137, '67920049', '2003', '13137', '20030523', '20030516', '', 'Pegawai', 'RS Tri Mitra', '811199', 324000, 324000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13138, '70950214', '2003', '13138', '20030523', '20030520', '', 'Anak I', 'RSB Asih', '811199', 172000, 172000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13139, '75980563', '2003', '13139', '20030523', '20030520', 'Alia Hanifah', 'Isteri', 'dr Anthony Atmadja', '811199', 158300, 158300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13140, '72950223', '2003', '13140', '20030523', '20030516', 'Titin Yuniria', 'Isteri', 'dr Farida H', '811199', 226000, 226000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13141, '17300901', '2003', '13141', '20030523', '20030517', '', 'Isteri', 'RS Hermina', '811199', 117350, 117350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13142, '69960413', '2003', '13142', '20030523', '20030513', '', 'Pegawai', 'dr Yustin', '811199', 239000, 239000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13143, '61930128', '2003', '13143', '20030523', '20030521', 'R. Raditya M.L', 'Anak I', 'RSPI', '811199', 703592, 703592, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13144, '68000760', '2003', '13144', '20030523', '20030519', 'Nurul Hidayati', 'Isteri', 'dr Retno', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13145, '63950202', '2003', '13145', '20030523', '20030514', 'Eviyundari', 'Anak I', 'dr Erni', '811199', 230800, 230800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13146, '61920045', '2003', '13146', '20030523', '20030512', '', 'Anak I', 'Aptk Gas Alam', '811199', 260500, 260500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13147, '60960384', '2003', '13147', '20030523', '20030520', '', 'Anak II', 'RS Hermina', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13148, '74950226', '2003', '13148', '20030523', '20030426', 'Syifa Ghallyah', 'Anak I', 'dr Tan Gek So', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13149, '74950356', '2003', '13149', '20030523', '20030516', '', 'Pegawai', 'dr Kurniawan', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13150, '66970463', '2003', '13150', '20030523', '20030518', '', 'Pegawai', 'RS Patria', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13151, '51030006', '2003', '13151', '20030523', '20030407', '', 'Isteri', 'Dental Surgeons', '811199', 21350000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13152, '69950162', '2003', '13152', '20030523', '20030521', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 580390, 580390, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13153, '43950002', '2003', '13153', '20030523', '20030518', '', 'Pegawai', '', '811199', 803300, 803300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13154, '66920035', '2003', '13154', '20030523', '20030407', 'Reyhan Xhavier Makabbie Amir', 'Anak I', 'RSIB,dr Arlin', '811199', 527200, 411300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13155, '63950190', '2003', '13155', '20030523', '20030508', '', 'Pegawai', 'RS Pertamina', '811199', 253419, 253419, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13156, '59920104', '2003', '13156', '20030523', '20030518', 'Diah Komalasari', 'Isteri', 'drg Linda Taher', '811199', 874600, 874600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13157, '78031489', '2003', '13157', '20030523', '20030517', '', 'Pegawai', 'RS Yadika', '811199', 359000, 359000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13158, '70000791', '2003', '13158', '20030523', '20030519', 'Safarina', 'Isteri', 'dr Farid Azis', '811199', 377000, 377000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13159, '75021078', '2003', '13159', '20030523', '20030520', '', 'Pegawai', 'Aptk Kartini', '811199', 89100, 89100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13160, '67920054', '2003', '13160', '20030523', '20030504', '', 'Anak II', 'Aptk Graha Medika', '811199', 84900, 84900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13161, '72000794', '2003', '13161', '20030523', '20030519', '', 'Isteri', 'dr Abu Purwanto', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13162, '66920106', '2003', '13162', '20030523', '20030520', '', 'Pegawai', 'dr Fitrah', '811199', 157500, 157500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13163, '62920017', '2003', '13163', '20030523', '20030520', 'Hadidjah Sansono', 'Isteri', 'RS Tria Dipa', '811199', 261000, 261000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13164, '65930143', '2003', '13164', '20030523', '20030514', 'Panji Bagas Dwiprakoso', 'Anak I', 'RS Int,l Bintaro', '811199', 196250, 196250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13165, '17098565', '2003', '13165', '20030523', '20030513', '', 'Anak I', 'RS Hermina', '811199', 150970, 150970, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13166, '75980563', '2003', '13166', '20030523', '20030520', 'Alia Hanifah', 'Isteri', 'dr Warno Supono', '811199', 39500, 39500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13167, '75021078', '2003', '13167', '20030523', '20030507', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13168, '69021141', '2003', '13168', '20030523', '20030512', '', 'Anak I', 'Aptk Rini', '811199', 120100, 120100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13169, '63970464', '2003', '13169', '20030523', '20030519', '', 'Pegawai', 'Ladokgi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13170, '17601989', '2003', '13170', '20030523', '20030520', '', 'Pegawai', 'drg Samsiar', '811199', 433000, 433000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13171, '58021106', '2003', '13171', '20030523', NULL, 'Ica', 'Anak II', 'dr Widjoyo', '811199', 197900, 197900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13172, '61930128', '2003', '13172', '20030523', '20030517', 'R. Raditya M.L', 'Anak I', 'RSPI', '811199', 284704, 264089, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13173, '77000793', '2003', '13173', '20030523', '20030430', '', 'Pegawai', 'Yay Sugra Husada', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13174, '71990574', '2003', '13174', '20030523', '20030522', '', 'Pegawai', 'RSIA Hermina', '811199', 128300, 128300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13175, '75020001', '2003', '13175', '20030523', '20030521', '', 'Pegawai', 'drg Doni', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13176, '69960396', '2003', '13176', '20030523', '20030522', 'Dhiwi Susanti', 'Isteri', 'Puri Medika', '811199', 115700, 115700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13177, '69960382', '2003', '13177', '20030523', '20030520', '', 'Pegawai', 'Klinik Bintaro', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13178, '68920053', '2003', '13178', '20030527', '20030507', '', 'Anak III', 'RS Hermina', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13179, '47950340', '2003', '13179', '20030527', '20030524', '', 'Pegawai', 'RS Cibinong', '811199', 130500, 130500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13180, '70970475', '2003', '13180', '20030527', '20030524', '', 'Isteri', 'RS Hermina', '811199', 401700, 401700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13181, '76970457', '2003', '13181', '20030527', '20030524', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13182, '17101947', '2003', '13182', '20030527', '20030512', '', 'Pegawai', 'dr Hardikosen', '811199', 336750, 336750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13183, '72000696', '2003', '13183', '20030527', '20030523', '', 'Anak I', 'RS Hermina', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13184, '69950222', '2003', '13184', '20030527', '20030422', '', 'Anak I', 'YPK', '811199', 268000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13185, '59920104', '2003', '13185', '20030527', '20030523', 'Diah Komalasari', 'Isteri', 'RS Medistra', '811199', 402300, 402300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13186, '69000687', '2003', '13186', '20030527', '20030521', '', 'Pegawai', 'RS Setia Mitra', '811199', 127500, 127500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13187, '77000672', '2003', '13187', '20030527', '20030524', '', 'Pegawai', 'RS Siloam', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13188, '17501895', '2003', '13188', '20030527', '20030524', '', 'Anak I', 'Aptk Mas Naga', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13189, '65960348', '2003', '13189', '20030527', '20030513', '', 'Pegawai', 'RS MMC', '811199', 305482, 305482, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13190, '66920029', '2003', '13190', '20030527', '20030520', 'Yunsari', 'Isteri', 'Aptk Gemina', '811199', 1021000, 1021000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13191, '16801865', '2003', '13191', '20030527', '20030524', '', 'Anak I', 'dr Hary', '811199', 100400, 100400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13192, '62970462', '2003', '13192', '20030527', '20030523', '', 'Pegawai', 'RS Mintoharjo', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13193, '58021106', '2003', '13193', '20030527', '20030520', 'Dhannang', 'Anak I', 'drg Debora', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13194, '16900803', '2003', '13194', '20030527', '20030521', '', 'Pegawai', 'RS Mitra Int,l', '811199', 877500, 877500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13195, '76021132', '2003', '13195', '20030527', '20030523', '', 'Isteri', 'dr Sudarmadi', '811199', 139300, 139300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13196, '76021132', '2003', '13196', '20030527', '20030222', '', 'Isteri', 'dr Sudarmadi', '811199', 100000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13197, '64950184', '2003', '13197', '20030527', '20030523', 'Nadia Astuti', 'Isteri', 'Klinik Armabar', '811199', 730000, 730000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13198, '56920028', '2003', '13198', '20030527', '20030519', 'Rezanov Duta Condaka', 'Anak II', 'Aptk Guci Medika', '811199', 257800, 257800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13199, '67990636', '2003', '13199', '20030527', '20030410', '', 'Pegawai', 'Klinik Citayan', '811199', 86000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13200, '67990636', '2003', '13200', '20030527', '20030524', 'Iqbal Aidina Arridho', 'Anak II', 'Klinik Al-Islam', '811199', 294700, 294700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13201, '67920089', '2003', '13201', '20030527', '20030515', 'Fawwaz Aulia Fadhil', 'Anak I', 'JMC', '811199', 303900, 303900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13202, '16701946', '2003', '13202', '20030527', '20030524', '', 'Anak I', 'dr Hardjono', '811199', 349800, 349800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13203, '66920064', '2003', '13203', '20030527', '20030519', '', 'Anak I', 'dr Rini Teguh', '811199', 356300, 356300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13204, '51980512', '2003', '13204', '20030527', '20030427', 'Wahdessy Dwi Afini', 'Anak II', 'dr A Gani T', '811199', 229900, 229900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13205, '70990648', '2003', '13205', '20030527', '20030428', 'Heni Nafarin', 'Isteri', 'drg R Wasis', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13206, '60950189', '2003', '13206', '20030527', '20030526', 'Riska Oktaviana', 'Anak III', 'dr Boyke', '811199', 1774375, 1774375, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13207, '75031490', '2003', '13207', '20030527', '20030525', '', 'Pegawai', 'RS Medistra', '811199', 725840, 725840, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13208, '70950214', '2003', '13208', '20030527', '20030526', '', 'Anak I', 'dr Dawam Marse', '811199', 65700, 65700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13209, '70930144', '2003', '13209', '20030527', '20030522', '', 'Pegawai', 'RS Abdi Waluyo', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13210, '77011017', '2003', '13210', '20030527', '20030520', '', 'Pegawai', 'RS JMC', '811199', 75500, 75500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13211, '70950204', '2003', '13211', '20030527', '20030526', 'Rustini', 'Isteri', 'dr Djamal', '811199', 152100, 152100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13212, '61920069', '2003', '13212', '20030527', '20030525', 'Mochamad Bayu Seto', 'Anak I', 'Aptk Sarika', '811199', 300950, 300950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13213, '75020004', '2003', '13213', '20030527', '20030519', '', 'Isteri', 'dr Maulana', '811199', 227400, 227400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13214, '69000669', '2003', '13214', '20030603', '20030523', '', 'Anak I', 'RS Tria Dipa', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13215, '57920024', '2003', '13215', '20030603', '20030527', '', 'Anak I', 'RS Mitra', '811199', 1837100, 1837100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13216, '70960393', '2003', '13216', '20030603', '20030527', '', 'Pegawai', 'dr A Davrie/Prodia', '811199', 1200000, 1200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13217, '70920034', '2003', '13217', '20030603', '20030526', '', 'Pegawai', 'drg Ita S', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13218, '43950002', '2003', '13218', '20030603', '20030527', '', 'Pegawai', '', '811199', 2265050, 2265050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13219, '72960390', '2003', '13219', '20030603', '20030527', '', 'Pegawai', 'dr Nyoman/RS Husni Thamrin', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13220, '71960398', '2003', '13220', '20030603', '20030519', '', 'Isteri', 'RS Graha M', '811199', 245600, 245600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13221, '75980563', '2003', '13221', '20030603', '20030526', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 160220, 160220, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13222, '63920052', '2003', '13222', '20030603', '20030527', '', 'Anak I', 'RS Mitra Intr,l', '811199', 189300, 189300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13223, '72000772', '2003', '13223', '20030603', '20030131', '', 'Pegawai', 'JMC', '811199', 33600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13224, '72000772', '2003', '13224', '20030603', '20030526', '', 'Pegawai', 'JMC', '811199', 82600, 82600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13225, '79010904', '2003', '13225', '20030603', '20030524', '', 'Pegawai', 'dr Supranoto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13226, '70970480', '2003', '13226', '20030603', '20030529', '', 'Anak I', 'dr Kemas F', '811199', 176800, 176800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13227, '63990637', '2003', '13227', '20030603', '20030528', 'Aulia Rahman', 'Anak II', 'RS Budhi Asih', '811199', 133000, 133000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13228, '49920032', '2003', '13228', '20030603', '20030527', '', 'Pegawai', 'RS St Carolus', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13229, '74031438', '2003', '13229', '20030603', '20030528', '', 'Anak I', 'RSAB HK', '811199', 181500, 181500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13230, '70980554', '2003', '13230', '20030603', '20030519', '', 'Pegawai', 'dr Retno WS', '811199', 298500, 245300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13231, '72980515', '2003', '13231', '20030603', '20030524', '', 'Anak I', 'RS Hermina/dr Nani', '811199', 208110, 208110, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13232, '70950370', '2003', '13232', '20030603', '20030528', '', 'Anak I', 'RSB  YPK', '811199', 345700, 345700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13233, '69940161', '2003', '13233', '20030603', '20030526', 'Ratnadya Thurfa', 'Anak I', 'dr Ujang Yamin', '811199', 106700, 106700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13234, '59021080', '2003', '13234', '20030603', '20030527', '', 'Isteri', 'dr Jenny B', '811199', 277000, 277000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13235, '70950177', '2003', '13235', '20030603', '20030527', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 247800, 247800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13236, '62920017', '2003', '13236', '20030603', '20030528', 'Hadidjah Sansono', 'Isteri', 'dr Paul', '811199', 236100, 236100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13237, '59920104', '2003', '13237', '20030603', '20030527', 'Diah Komalasari', 'Isteri', 'RS THT Proklamasi', '811199', 769850, 286800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13238, '72000707', '2003', '13238', '20030603', '20030528', '', 'Anak I', 'dr Azwir', '811199', 639000, 479000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13239, '74021263', '2003', '13239', '20030603', '20030514', '', 'Anak I', 'dr Kim', '811199', 345700, 345700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13240, '64950184', '2003', '13240', '20030603', '20030416', 'Muhammad Karim Adjiperdana', 'Anak I', 'Aptk Mahakam', '811199', 45000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13241, '64950184', '2003', '13241', '20030603', '20030513', 'Nadia Astuti', 'Isteri', 'Klinik Armabar', '811199', 593100, 593100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13242, '70950204', '2003', '13242', '20030603', '20030528', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 109000, 109000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13243, '72950205', '2003', '13243', '20030603', '20030527', 'Rony Romelah', 'Isteri', 'RS Tumbuh Kembang', '811199', 39000, 39000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13244, '43950002', '2003', '13244', '20030603', '20030527', '', 'Pegawai', '', '811199', 1630968, 1630968, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13245, '72960390', '2003', '13245', '20030603', '20030528', '', 'Pegawai', 'dr Zulhafdi/RS Thamrin', '811199', 244800, 244800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13246, '72950363', '2003', '13246', '20030603', '20030528', '', 'Pegawai', 'Klinik Kuningan', '811199', 838000, 379900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13247, '64950171', '2003', '13247', '20030603', '20030531', '', 'Pegawai', 'dr Afriyanti K', '811199', 428200, 428200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13248, '65010987', '2003', '13248', '20030603', '20030517', '', 'Anak I', 'drg Liza R', '811199', 219000, 219000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13249, '65021085', '2003', '13249', '20030603', '20030405', '', 'Anak I', 'dr Radwia S', '811199', 40000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13250, '72000794', '2003', '13250', '20030603', '20030527', '', 'Pegawai', 'Pol Dharma Bhakti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13251, '71950367', '2003', '13251', '20030603', '20030523', 'Astina Dahlia M.', 'Isteri', 'dr Bintono S', '811199', 773300, 773300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13252, '65970482', '2003', '13252', '20030603', '20030529', '', 'Pegawai', 'dr Bambang', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13253, '66970463', '2003', '13253', '20030603', '20030602', '', 'Pegawai', 'RS Patria', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13254, '67930149', '2003', '13254', '20030603', '20030603', '', 'Pegawai', 'drg Elizabeth', '811199', 415000, 415000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13255, '66930135', '2003', '13255', '20030603', '20030523', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 444919, 444919, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13256, '43950002', '2003', '13256', '20030603', '20030602', '', 'Pegawai', '', '811199', 933500, 933500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13257, '72031488', '2003', '13257', '20030603', '20030525', '', 'Pegawai', 'Aptk Melawai', '811199', 130800, 130800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13258, '73970495', '2003', '13258', '20030603', '20030521', '', 'Pegawai', 'dr Hamdani', '811199', 665120, 665120, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13259, '17300785', '2003', '13259', '20030603', '20030528', '', 'Pegawai', 'dr Dixi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13260, '17300761', '2003', '13260', '20030603', '20030520', '', 'Pegawai', 'dr Wim Lambey', '811199', 201000, 201000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13261, '64000846', '2003', '13261', '20030603', '20030530', '', 'Pegawai', 'dr S R Endang', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13262, '76021082', '2003', '13262', '20030603', '20030525', '', 'Pegawai', 'Aptk Tora', '811199', 189450, 189450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13263, '72950364', '2003', '13263', '20030603', '20030531', '', 'Pegawai', 'RS OMC', '811199', 210150, 210150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13264, '77000678', '2003', '13264', '20030603', '20030602', '', 'Pegawai', 'RS Medistra', '811199', 185977, 185977, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13265, '61920045', '2003', '13265', '20030603', '20030331', '', 'Anak I', 'dr Tadjuddin Tutu', '811199', 190400, 190400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13266, '70930132', '2003', '13266', '20030603', '20030527', '', 'Pegawai', 'Klinik Karina', '811199', 379700, 379700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13267, '66920043', '2003', '13267', '20030603', '20030530', '', 'Anak II', 'RSPI', '811199', 227761, 227761, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13268, '77021433', '2003', '13268', '20030603', '20030513', '', 'Isteri', 'rsb assalam', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13269, '71021430', '2003', '13269', '20030603', '20030527', '', 'Pegawai', 'Eka Sapta', '811199', 106000, 106000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13270, '70031507', '2003', '13270', '20030603', '20030529', 'Dicky', 'Anak I', 'Restu Bunda', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13271, '80021417', '2003', '13271', '20030603', '20030507', '', 'Pegawai', 'Yay. Kanker Ind', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13272, '78021264', '2003', '13272', '20030603', '20030429', '', 'Pegawai', 'Citra Ansana', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13273, '68000760', '2003', '13273', '20030603', '20030517', 'M. Azry Zulfiqar', 'Anak I', 'Hermina', '811199', 159400, 159400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13274, '68000760', '2003', '13274', '20030603', '20030524', 'M. Azry Zulfiqar', 'Anak I', 'Hermina', '811199', 73300, 73300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13275, '57930113', '2003', '13275', '20030606', '20030513', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13276, '57990576', '2003', '13276', '20030606', '20030523', '', 'Pegawai', 'RS Harum', '811199', 766600, 514200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13277, '68950221', '2003', '13277', '20030606', '20030602', 'Kevin Tria Nugroho', 'Anak I', 'dr Tjeptjep', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13278, '73021081', '2003', '13278', '20030606', '20030530', '', 'Anak I', 'Apk Kolombo', '811199', 263950, 263950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13279, '57910014', '2003', '13279', '20030606', '20030603', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13280, '70000791', '2003', '13280', '20030606', '20030602', 'M. Khalif F.', 'Anak I', 'Yay Jambangan Kasih', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13281, '65930143', '2003', '13281', '20030606', '20030512', 'Wiandra Bagus Wicaksono', 'Anak II', 'RS Int,l Bintaro', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13282, '63970476', '2003', '13282', '20030606', '20030521', '', 'Pegawai', 'Ladokgi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13283, '70950199', '2003', '13283', '20030606', '20030426', '', 'Pegawai', 'dr Widayanto', '811199', 45000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13284, '70950199', '2003', '13284', '20030606', '20030526', '', 'Pegawai', 'dr Widayanto', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13285, '70980570', '2003', '13285', '20030606', '20030531', 'Eer', 'Isteri', 'RS Haji', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13286, '66970473', '2003', '13286', '20030606', '20030520', '', 'Anak I', 'RS Gandaria', '811199', 174000, 174000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13287, '70000791', '2003', '13287', '20030606', '20030605', 'M. Khalif F.', 'Anak I', 'dr Ismail Sangaji', '811199', 249000, 249000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13288, '66950220', '2003', '13288', '20030606', '20030603', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13289, '66920026', '2003', '13289', '20030606', '20030529', 'Sang Ayu Baktiasih', 'Isteri', 'RSIB', '811199', 107800, 107800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13290, '71021430', '2003', '13290', '20030606', '20030524', '', 'Pegawai', 'drg Andrianti S', '811199', 1150000, 1150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13291, '74000715', '2003', '13291', '20030606', '20030602', '', 'Pegawai', 'drg Rita Sariwati', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13292, '73010858', '2003', '13292', '20030606', '20030529', '', 'Isteri', 'RS Mitra Int,l', '811199', 400500, 400500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13293, '75020001', '2003', '13293', '20030606', '20030526', '', 'Pegawai', 'drg Doni', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13294, '60930116', '2003', '13294', '20030606', '20030522', '', 'Isteri', 'dr ei,s Dental', '811199', 1027500, 1027500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13295, '17601989', '2003', '13295', '20030606', '20030603', '', 'Pegawai', 'drg Samsiar', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13296, '58950188', '2003', '13296', '20030606', '20030604', 'Komerahyatun', 'Isteri', 'dr Agung', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13297, '78000693', '2003', '13297', '20030606', '20030602', '', 'Pegawai', 'Prodia', '811199', 81500, 81500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13298, '60970471', '2003', '13298', '20030606', '20030604', 'Mazaya Nauli', 'Anak I', 'dr S Poedjo', '811199', 203300, 203300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13299, '50950207', '2003', '13299', '20030606', '20030603', '', 'Pegawai', 'drg Alamanda', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13300, '69940161', '2003', '13300', '20030606', '20030602', 'Kalista Adjani', 'Anak II', 'Apk Citra F', '811199', 160000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13301, '63950202', '2003', '13301', '20030606', '20030602', '', 'Anak II', 'dr Eva', '811199', 311700, 311700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13302, '66011023', '2003', '13302', '20030606', '20030602', '', 'Isteri', 'dr Fifi', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13303, '71990574', '2003', '13303', '20030606', '20030604', '', 'Pegawai', 'RSIA Hermina', '811199', 186500, 186500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13304, '70920034', '2003', '13304', '20030606', '20030602', '', 'Pegawai', 'drg Ita S', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13305, '74042272', '2003', '13305', '20030606', '20030520', '', 'Pegawai', 'Optik Arafah', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13306, '66950191', '2003', '13306', '20030606', '20030601', '', 'Anak I', 'RSPI', '811199', 222755, 222755, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13307, '64950184', '2003', '13307', '20030606', '20030605', 'Nadia Astuti', 'Isteri', 'Klinik Armabar', '811199', 750000, 224700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13308, '64950184', '2003', '13308', '20030606', '20030527', 'Annisaa Sharinka Chandrawasih', 'Anak II', 'RS Kramat', '811199', 487800, 360000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13309, '68021214', '2003', '13309', '20030606', '20030603', '', 'Pegawai', 'JMC', '811199', 65300, 65300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13310, '67920065', '2003', '13310', '20030606', '20030507', '', 'Pegawai', 'dr Hindarto', '811199', 351000, 351000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13311, '70950214', '2003', '13311', '20030606', '20030604', '', 'Pegawai', 'Klinik Bintaro', '811199', 163000, 163000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13312, '66920064', '2003', '13312', '20030606', '20030529', '', 'Anak I', 'RSPI', '811199', 155330, 155330, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13313, '61950175', '2003', '13313', '20030606', '20030604', '', 'Anak III', 'RS Hermina', '811199', 149200, 149200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13314, '69970477', '2003', '13314', '20030606', '20030604', '', 'Pegawai', 'Klinik Limus', '811199', 85500, 85500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13315, '69000692', '2003', '13315', '20030606', '20030602', 'Retno Wibramaningsih', 'Isteri', 'drg Christine', '811199', 612500, 612500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13316, '67920054', '2003', '13316', '20030606', '20030529', '', 'Anak II', 'Citra Graha Medika', '811199', 106500, 106500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13317, '73021143', '2003', '13317', '20030610', '20030601', '', 'Pegawai', 'dr Joni', '811199', 179300, 179300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13318, '70990648', '2003', '13318', '20030610', '20030609', 'Faizah Rahmah Izzatudini', 'Anak I', 'BKR-MKGR', '811199', 138800, 138800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13319, '69000687', '2003', '13319', '20030610', '20030531', '', 'Pegawai', 'Ritz Dental Clinic', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13320, '76990604', '2003', '13320', '20030610', '20030519', '', 'Pegawai', 'dr Gunawan', '811199', 162700, 162700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13321, '64010984', '2003', '13321', '20030610', '20030605', '', 'Isteri', 'dr Erwin', '811199', 282000, 282000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13322, '43950002', '2003', '13322', '20030610', '20030605', '', 'Pegawai', '', '811199', 1564000, 1564000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13323, '43950002', '2003', '13323', '20030610', '20030605', '', 'Pegawai', '', '811199', 2390850, 2390850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13324, '71021131', '2003', '13324', '20030610', '20030522', '', 'Pegawai', 'dr Siskawati', '811199', 180000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13325, '75000720', '2003', '13325', '20030610', '20030603', '', 'Pegawai', 'dr Retno', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13326, '67950203', '2003', '13326', '20030610', '20030529', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Syarif', '811199', 98500, 98500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13327, '71970498', '2003', '13327', '20030610', '20030605', '', 'Pegawai', 'dr Nugroho', '811199', 246600, 246600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13328, '64930120', '2003', '13328', '20030610', '20030608', '', 'Anak I', 'RSPI', '811199', 138686, 138686, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13329, '79010904', '2003', '13329', '20030610', '20030604', '', 'Pegawai', 'JMC', '811199', 86600, 86600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13330, '74021263', '2003', '13330', '20030610', '20030531', '', 'Anak I', 'dr Bmabang', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13331, '63920052', '2003', '13331', '20030610', '20030606', '', 'Pegawai', 'JMC', '811199', 49800, 49800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13332, '71960398', '2003', '13332', '20030610', '20030605', '', 'Isteri', 'RS Graha M', '811199', 268000, 268000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13333, '75980563', '2003', '13333', '20030610', '20030607', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 162100, 162100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13334, '63970464', '2003', '13334', '20030610', '20030609', '', 'Pegawai', 'RS Aini', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13335, '68970466', '2003', '13335', '20030610', '20030602', '', 'Pegawai', 'Klinik Yudia', '811199', 55500, 55500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13336, '57930124', '2003', '13336', '20030610', '20030520', '', 'Pegawai', 'Klinik Mampang Sari', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13337, '57910014', '2003', '13337', '20030610', '20030608', 'Arief Rahman', 'Anak II', 'dr Yacob', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13338, '68920053', '2003', '13338', '20030610', '20030604', '', 'Anak III', 'RS Hermina', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13339, '56920028', '2003', '13339', '20030610', '20030609', 'Sri Endang Susilowati', 'Isteri', 'dr Satrio', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13340, '66950220', '2003', '13340', '20030610', '20030607', 'Venny Andrianingtias', 'Anak II', 'Klinik Selaras', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13341, '60920075', '2003', '13341', '20030610', '20030604', 'Tatag Abiyoso Utomo', 'Anak I', 'dr Tadjudin', '811199', 349100, 349100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13342, '65960379', '2003', '13342', '20030610', '20030605', 'Muhammad Kemal Ramadhan', 'Anak I', 'RSIA Depok', '811199', 73859, 73859, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13343, '65960416', '2003', '13343', '20030610', '20030607', '', 'Anak I', 'RS Muhammdiyah', '811199', 94000, 94000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13344, '77011017', '2003', '13344', '20030610', '20030606', '', 'Pegawai', 'RS JMC', '811199', 72900, 72900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13345, '65970482', '2003', '13345', '20030610', '20030609', '', 'Pegawai', 'RS Aini', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13346, '65930147', '2003', '13346', '20030617', '20030609', '', 'Anak I', 'RS Harum', '811199', 161000, 161000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13347, '71990647', '2003', '13347', '20030617', '20030609', '', 'Anak II', 'RS HR Kita', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13348, '67950168', '2003', '13348', '20030617', '20030606', '', 'Pegawai', 'RS Medistra', '811199', 198000, 198000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13349, '63950190', '2003', '13349', '20030617', '20030609', '', 'Anak I', 'RS Mitra Int,l', '811199', 275700, 275700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13350, '61920040', '2003', '13350', '20030617', '20030611', '', 'Pegawai', 'dr Wiranto', '811199', 297500, 297500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13351, '71980506', '2003', '13351', '20030617', '20030610', '', 'Pegawai', 'dr Rama Tjandra', '811199', 396200, 396200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13352, '65980552', '2003', '13352', '20030617', '20030528', 'Frida Andriani', 'Isteri', 'dr Soekarno', '811199', 209500, 209500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13353, '70031507', '2003', '13353', '20030617', '20030609', '', 'Pegawai', 'dr Suryawan', '811199', 149000, 149000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13354, '73000759', '2003', '13354', '20030617', '20030602', '', 'Pegawai', 'drg Rina', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13355, '72021108', '2003', '13355', '20030617', '20030609', '', 'Anak I', 'dr HB Ismuhandoyo', '811199', 217800, 217800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13356, '68950221', '2003', '13356', '20030617', '20030611', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 368000, 368000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13357, '66930135', '2003', '13357', '20030617', '20030605', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 613690, 613690, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13358, '76970457', '2003', '13358', '20030617', '20030611', '', 'Pegawai', 'drg Indrawati', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13359, '69980544', '2003', '13359', '20030617', '20030612', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 154850, 154850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13360, '68920053', '2003', '13360', '20030617', '20030611', '', 'Pegawai', 'drg Dewi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13361, '76021082', '2003', '13361', '20030617', '20030610', '', 'Pegawai', 'drg Emilia', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13362, '69960396', '2003', '13362', '20030617', '20030603', '', 'Pegawai', 'Yasmin Medika', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13363, '70950204', '2003', '13363', '20030617', '20030610', '', 'Pegawai', 'dr Leni', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13364, '62910008', '2003', '13364', '20030617', '20030603', 'Baldomero S. G.', 'Anak I', 'RS Pondok Indah', '811199', 217500, 217500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13365, '66010859', '2003', '13365', '20030617', '20030612', 'Pratiti', 'Isteri', 'RS Bintaro', '811199', 229100, 229100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13366, '17700698', '2003', '13366', '20030617', '20030505', '', 'Pegawai', 'RS St Carolus', '811199', 66000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13367, '69960401', '2003', '13367', '20030617', '20030614', 'Elly S. Abdurachman', 'Isteri', 'Aptk Tunas Harapan', '811199', 65600, 65600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13368, '73960391', '2003', '13368', '20030617', '20030609', 'Rita Aryana', 'Isteri', 'dr Retno Adi', '811199', 401000, 401000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13369, '76010936', '2003', '13369', '20030617', '20030616', '', 'Pegawai', 'drg Sylvia Agnes', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13370, '71990647', '2003', '13370', '20030617', '20030616', '', 'Anak I', 'RS HR Kita', '811199', 92500, 92500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13371, '68950371', '2003', '13371', '20030617', '20030613', 'Anggraini', 'Isteri', 'RS Medistra', '811199', 236400, 236400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13372, '75980563', '2003', '13372', '20030617', '20030610', 'Alia Hanifah', 'Isteri', 'Lab Prodia', '811199', 460000, 460000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13373, '27400906', '2003', '13373', '20030617', '20030613', '', 'Anak I', 'dr H Zainal', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13374, '17300901', '2003', '13374', '20030617', '20030614', '', 'Isteri', 'RS Hermina', '811199', 88550, 88550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13375, '60950218', '2003', '13375', '20030617', '20030616', '', 'Pegawai', 'drg Elly', '811199', 472500, 472500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13376, '63990637', '2003', '13376', '20030617', '20030611', '', 'Pegawai', 'dr Marzuki', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13377, '57980555', '2003', '13377', '20030617', '20030612', 'Enggar Parastri', 'Anak III', 'dr Sri Adi', '811199', 216700, 216700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13378, '62920044', '2003', '13378', '20030617', '20030616', '', 'Isteri', 'Aptk Cililitan', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13379, '64980559', '2003', '13379', '20030620', '20030618', 'Malika Daeng Ratang', 'Isteri', 'drg HM Aes P', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13380, '68950221', '2003', '13380', '20030617', '20030612', 'Kevin Tria Nugroho', 'Anak I', 'RS Tria Dipa', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13381, '63970483', '2003', '13381', '20030617', '20030607', '', 'Anak I', 'dr Abdurahman', '811199', 380200, 380200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13382, '66920064', '2003', '13382', '20030617', '20030614', '', 'Isteri', 'dr Rini Teguh', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13383, '70950199', '2003', '13383', '20030617', '20030614', '', 'Pegawai', 'dr Miswita', '811199', 186000, 186000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13384, '78031463', '2003', '13384', '20030617', '20030612', '', 'Pegawai', 'Bdn Nursyam', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13385, '72099654', '2003', '13385', '20030617', '20030531', '', 'Isteri', 'Kedungsari', '811199', 402900, 402900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13386, '67980526', '2003', '13386', '20030617', '20030612', 'Ahmad Faishal Annas', 'Anak I', 'apt. Rahiem', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13387, '72000707', '2003', '13387', '20030617', '20030611', '', 'Anak I', 'dr Tjandra', '811199', 296800, 296800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13388, '71011018', '2003', '13388', '20030617', '20030614', '', 'Isteri', 'drg Usman', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13389, '74000725', '2003', '13389', '20030617', '20030613', '', 'Pegawai', 'JMC', '811199', 70900, 70900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13390, '68021214', '2003', '13390', '20030617', '20030613', '', 'Pegawai', 'Graha Medika', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13391, '69950209', '2003', '13391', '20030617', '20030613', 'Neneng Lutvia', 'Isteri', 'RS Mitra', '811199', 296800, 296800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13392, '68000760', '2003', '13392', '20030617', '20030611', '', 'Pegawai', 'dr Retno', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13393, '74950226', '2003', '13393', '20030617', '20030616', '', 'Anak II', 'dr Tan Gek', '811199', 79600, 79600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13394, '57910014', '2003', '13394', '20030617', '20030611', '', 'Pegawai', 'dr Yacob', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13395, '73970495', '2003', '13395', '20030617', '20030611', '', 'Pegawai', 'MMC', '811199', 310850, 310850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13396, '47950340', '2003', '13396', '20030617', '20030614', '', 'Pegawai', 'Klinik Rosmala', '811199', 32000, 32000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13397, '49920032', '2003', '13397', '20030617', '20030614', '', 'Pegawai', 'dr Hartono', '811199', 420850, 420850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13398, '66920026', '2003', '13398', '20030617', '20030612', 'Ngakan Made Prakasa Judha', 'Anak II', 'Klinik Global', '811199', 140700, 140700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13399, '66920067', '2003', '13399', '20030617', '20030609', 'Deny Waty Djaafar', 'Isteri', 'dr Ita', '811199', 342500, 342500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13400, '62950197', '2003', '13400', '20030617', '20030605', 'Fauzan Mario Pratama', 'Anak II', 'RS Sarjito', '811199', 392400, 392400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13401, '61950175', '2003', '13401', '20030617', '20030616', 'Farah Ramadhani', 'Anak II', 'RSTK', '811199', 168400, 168400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13402, '76010936', '2003', '13402', '20030617', '20030606', '', 'Pegawai', 'drg Sylvia', '811199', 437000, 437000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13403, '62910013', '2003', '13403', '20030617', '20030607', '', 'Anak I', 'dr Azwir', '811199', 185900, 185900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13404, '66970473', '2003', '13404', '20030617', '20030606', '', 'Pegawai', 'Bina Sehat', '811199', 91000, 91000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13405, '61970468', '2003', '13405', '20030617', '20030610', '', 'Pegawai', 'RS Harapan Kita', '811199', 240500, 240500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13406, '70990648', '2003', '13406', '20030617', '20030610', '', 'Pegawai', 'RS Mitra Int,l', '811199', 196500, 196500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13407, '65920033', '2003', '13407', '20030617', '20030610', 'Eti Karyati', 'Isteri', 'dr Agus', '811199', 171000, 171000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13408, '70930132', '2003', '13408', '20030617', '20030603', '', 'Pegawai', 'RS Cikini', '811199', 286000, 286000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13409, '72000701', '2003', '13409', '20030617', '20030610', 'Desi Mirdasari', 'Isteri', 'Kuningan Medical', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13410, '51980512', '2003', '13410', '20030617', '20030513', 'Wahdini Zeiniarti', 'Anak I', 'Bakti Graha', '811199', 363250, 363250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13411, '60970471', '2003', '13411', '20030617', '20030609', 'Mazaya Nauli', 'Anak I', 'dr Nurbaiti Iskandar', '811199', 229800, 229800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13412, '60970471', '2003', '13412', '20030617', '20030611', '', 'Pegawai', 'drg Hatiti P', '811199', 126600, 126600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13413, '70970480', '2003', '13413', '20030617', '20030607', '', 'Pegawai', 'dr Loky', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13414, '47950340', '2003', '13414', '20030617', '20030610', '', 'Pegawai', 'dr Bernard', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13415, '63970476', '2003', '13415', '20030617', '20030603', '', 'Pegawai', 'drg Abdullah', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13416, '70000717', '2003', '13416', '20030617', '20030613', '', 'Pegawai', 'Jkt Eye Centre', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13417, '74031496', '2003', '13417', '20030617', '20030604', '', 'Pegawai', 'JMC', '811199', 68900, 68900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13418, '74031496', '2003', '13418', '20030617', '20030609', '', 'Pegawai', 'JMC', '811199', 118100, 118100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13419, '64980559', '2003', '13419', '20030620', '20030505', '', 'Pegawai', 'Aptk Ridhoi', '811199', 31600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13420, '70950214', '2003', '13420', '20030620', '20030617', '', 'Pegawai', 'Aptk Rini', '811199', 129500, 129500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13421, '69021141', '2003', '13421', '20030620', '20030613', '', 'Anak I', 'dr Ellen T', '811199', 250500, 250500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13422, '65920077', '2003', '13422', '20030620', '20030619', '', 'Pegawai', 'drg Maria Indah', '811199', 390000, 390000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13423, '69960413', '2003', '13423', '20030620', '20030617', '', 'Pegawai', 'dr Yustin', '811199', 252000, 252000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13424, '66970473', '2003', '13424', '20030620', '20030612', '', 'Pegawai', 'dr Faricha', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13425, '75021078', '2003', '13425', '20030620', '20030617', 'Natasya', 'Anak I', 'BKR MKGR', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13426, '67970469', '2003', '13426', '20030620', '20030617', 'Rafly Malik Sulaiman', 'Anak I', 'Klinik LPM', '811199', 248000, 248000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13427, '77021138', '2003', '13427', '20030620', '20030618', '', 'Pegawai', 'drg Sam S', '811199', 513600, 513600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13428, '54099650', '2003', '13428', '20030620', '20030617', '', 'Pegawai', 'RS Medistra', '811199', 650700, 650700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13429, '75021078', '2003', '13429', '20030620', '20030616', 'Natasya', 'Anak I', 'BKR MKGR', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13430, '67990636', '2003', '13430', '20030620', '20030617', 'Iqbal Aidina Arridho', 'Anak II', 'RS Hermina', '811199', 741810, 741810, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13431, '65960348', '2003', '13431', '20030620', '20030617', '', 'Pegawai', 'RS MMC', '811199', 398602, 354214, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13432, '69950178', '2003', '13432', '20030620', '20030618', '', 'Pegawai', 'RS Medistra', '811199', 288700, 288700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13433, '72021050', '2003', '13433', '20030620', '20030605', '', 'Isteri', 'Aptk Yaspen', '811199', 75700, 75700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13434, '66970473', '2003', '13434', '20030620', '20030615', '', 'Anak I', 'Yay Bina Sehat', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13435, '64930110', '2003', '13435', '20030620', '20030608', '', 'Anak I', 'RS Inter,l Bintaro', '811199', 289200, 289200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13436, '70960377', '2003', '13436', '20030620', '20030618', '', 'Pegawai', 'RS Siaga', '811199', 1549100, 1549100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13437, '65930143', '2003', '13437', '20030620', '20030615', '', 'Pegawai', 'Aptk Kasuari 2', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13438, '74950356', '2003', '13438', '20030620', '20030614', 'Hj. Junerah', 'Isteri', 'dr Erik U', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13439, '61950175', '2003', '13439', '20030620', '20030617', 'Farah Ramadhani', 'Anak II', 'RSTK', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13440, '75020004', '2003', '13440', '20030624', '20030524', '', 'Isteri', 'dr Budi Susanto', '811199', 127800, 127800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13441, '77021068', '2003', '13441', '20030624', '20030610', '', 'Pegawai', 'RSPI', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13442, '66990584', '2003', '13442', '20030624', '20030621', '', 'Pegawai', 'drg Dicky F', '811199', 430000, 430000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13443, '78000693', '2003', '13443', '20030624', '20030620', '', 'Pegawai', 'Klinik Graha Kuningan', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13444, '71960398', '2003', '13444', '20030624', '20030621', '', 'Isteri', 'RS Graha M', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13445, '69021141', '2003', '13445', '20030624', '20030620', 'Vanya', 'Anak I', 'dr Ellen T', '811199', 237000, 237000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13446, '67960411', '2003', '13446', '20030624', '20030623', 'Fakhri Achmad', 'Anak II', 'Klinik Bunda Harapan', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13447, '66000735', '2003', '13447', '20030624', '20030622', '', 'Anak I', 'Klinik Rifelina', '811199', 89700, 89700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13448, '75020001', '2003', '13448', '20030624', '20030623', '', 'Pegawai', 'dr Gayatri', '811199', 197000, 197000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13449, '68950341', '2003', '13449', '20030624', '20030623', '', 'Anak I', 'RSAB Harapan Kita', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13450, '65920018', '2003', '13450', '20030624', '20030623', 'Aslha', 'Anak III', 'dr Himawan', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13451, '65950196', '2003', '13451', '20030624', '20030618', '', 'Pegawai', 'dr Martha', '811199', 63700, 63700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13452, '17100561', '2003', '13452', '20030624', '20030611', '', 'Pegawai', 'dr Respinah', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13453, '65010987', '2003', '13453', '20030624', '20030606', '', 'Isteri', 'dr Abdullah', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13454, '76010936', '2003', '13454', '20030624', '20030621', '', 'Pegawai', 'drg Sylvia', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13455, '76970457', '2003', '13455', '20030624', '20030615', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13456, '61950175', '2003', '13456', '20030624', '20030618', 'Farah Ramadhani', 'Anak II', 'Aptk Duta Medika', '811199', 52000, 52000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13457, '63920047', '2003', '13457', '20030624', '20030618', '', 'Isteri', 'dr Limandi Brata', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13458, '70990648', '2003', '13458', '20030624', '20030611', 'Faizah Rahmah Izzatudini', 'Anak I', 'Pekayon Jaya', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13459, '68950221', '2003', '13459', '20030624', '20030621', 'Nurseha', 'Isteri', 'RS Tria Dipa', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13460, '66920106', '2003', '13460', '20030624', '20030621', '', 'Anak I', 'BP Fitrah', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13461, '71990660', '2003', '13461', '20030624', '20030601', '', 'Anak I', 'dr Cholid Rosidi', '811199', 70664, 70664, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13462, '69960401', '2003', '13462', '20030624', '20030621', 'Rafiqi Luthfan', 'Anak I', 'dr Syahrial', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13463, '62920017', '2003', '13463', '20030624', '20030621', '', 'Pegawai', 'Klinik Dr Budi', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13464, '73021081', '2003', '13464', '20030624', '20030617', '', 'Pegawai', 'RS Tria Dipa', '811199', 469000, 469000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13465, '68970466', '2003', '13465', '20030624', '20030614', '', 'Pegawai', 'RS Mitra', '811199', 170200, 170200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13466, '43950002', '2003', '13466', '20030624', '20030616', '', 'Pegawai', '', '811199', 2105350, 2105350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13467, '69950178', '2003', '13467', '20030624', '20030620', '', 'Pegawai', 'RS Medistra', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13468, '71011018', '2003', '13468', '20030624', '20030619', '', 'Pegawai', 'Bina Sakti', '811199', 84500, 84500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13469, '64000846', '2003', '13469', '20030624', '20030620', 'E. H Wahyuningsih', 'Isteri', 'dr S R Endang', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13470, '70950183', '2003', '13470', '20030624', '20030619', '', 'Pegawai', 'Kt Wisata MC', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13471, '65960408', '2003', '13471', '20030624', '20030616', 'Dikiy', 'Anak III', 'dr Meri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13472, '65960408', '2003', '13472', '20030624', '20030617', 'De Alzaro Nir Inszapuysho', 'Anak I', 'dr Meri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13473, '74000719', '2003', '13473', '20030624', '20030613', '', 'Pegawai', 'RS Bunda', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13474, '74000719', '2003', '13474', '20030624', '20030622', '', 'Pegawai', 'Aptk Kirana', '811199', 48500, 48500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13475, '71980506', '2003', '13475', '20030624', '20030620', '', 'Pegawai', 'dr Nugroho', '811199', 711900, 711900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13476, '16701946', '2003', '13476', '20030624', '20030610', '', 'Anak I', 'dr Wiranto', '811199', 130300, 130300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13477, '75020004', '2003', '13477', '20030624', '20030614', '', 'Pegawai', 'dr Gunawan', '811199', 273500, 273500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13478, '52030005', '2003', '13478', '20030620', '20030618', '', 'Anak I', 'RS Hermina', '811199', 161380, 161380, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13479, '76980517', '2003', '13479', '20030626', '20030624', 'Fathya A.W.', 'Anak I', 'RS Prima Husada', '811199', 131600, 131600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13480, '67930149', '2003', '13480', '20030626', '20030605', '', 'Pegawai', 'dr Retno', '811199', 70000, 65200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13481, '66920026', '2003', '13481', '20030626', '20030624', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 160300, 160300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13482, '68920053', '2003', '13482', '20030626', '20030623', 'Hafizh Insan A', 'Anak I', 'drg Dewi', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13483, '59920030', '2003', '13483', '20030626', '20030615', '', 'Pegawai', 'Klinik Kharinta', '811199', 776500, 776500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13484, '56920028', '2003', '13484', '20030626', '20030625', 'Sri Endang Susilowati', 'Isteri', 'Klinik Asri Husada', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13485, '66920026', '2003', '13485', '20030626', '20030610', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 83700, 83700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13486, '59920056', '2003', '13486', '20030626', '20030624', 'Bachtiar Arifin', 'Anak I', 'Selasih Medika', '811199', 610500, 610500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13487, '59021080', '2003', '13487', '20030626', '20030624', '', 'Pegawai', 'dr Paliyama', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13488, '65920033', '2003', '13488', '20030626', '20030624', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 306400, 306400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13489, '75021078', '2003', '13489', '20030626', '20030619', 'Natasya', 'Anak I', 'BKR MKGR', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13490, '66950191', '2003', '13490', '20030626', '20030622', '', 'Anak I', 'RSPI', '811199', 395262, 395262, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13491, '73021051', '2003', '13491', '20030626', '20030624', '', 'Isteri', 'dr Petrus Rovelli', '811199', 208800, 208800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13492, '64970465', '2003', '13492', '20030626', '20030625', '', 'Pegawai', 'JMC', '811199', 98700, 98700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13493, '76990604', '2003', '13493', '20030626', '20030616', '', 'Pegawai', 'dr Iksan', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13494, '65021085', '2003', '13494', '20030626', '20030626', '', 'Anak I', 'dr Radwin S', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13495, '69960396', '2003', '13495', '20030626', '20030625', 'Dhiwi Susanti', 'Isteri', 'RS Islam,Jakarta', '811199', 73550, 73550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13496, '69960413', '2003', '13496', '20030626', '20030621', '', 'Pegawai', 'RS Muhammadyah', '811199', 93800, 93800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13497, '67950193', '2003', '13497', '20030626', '20030623', 'Mohammad Abbyrawa Ganesia Nugroho', 'Anak I', 'RS MMC', '811199', 261100, 261100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13498, '70970487', '2003', '13498', '20030626', '20030625', '', 'Pegawai', 'dr Ade Ruspiah', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13499, '71970498', '2003', '13499', '20030626', '20030620', '', 'Pegawai', 'Klinik Mataraja', '811199', 151000, 151000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13500, '17101947', '2003', '13500', '20030701', '20030622', '', 'Pegawai', 'dr M Djoko Waspada', '811199', 291200, 291200, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 13501 - 14000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13501, '70950177', '2003', '13501', '20030701', '20030628', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 125800, 125800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13502, '70980554', '2003', '13502', '20030701', '20030614', '', 'Pegawai', 'Denta Medika', '811199', 647700, 647700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13503, '65920018', '2003', '13503', '20030701', '20030628', 'Aslha', 'Anak III', 'dr Rachmat', '811199', 343700, 343700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13504, '60950354', '2003', '13504', '20030701', '20030620', 'Fauzia Ayuni', 'Isteri', 'dr Hartati', '811199', 236500, 236500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13505, '64950171', '2003', '13505', '20030701', '20030626', '', 'Pegawai', 'RSPAD Gatsu', '811199', 632500, 632500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13506, '72021050', '2003', '13506', '20030701', '20030621', '', 'Pegawai', 'dr Ali Imran', '811199', 862300, 862300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13507, '74031496', '2003', '13507', '20030701', '20030625', '', 'Pegawai', 'JMC', '811199', 452100, 452100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13508, '58021106', '2003', '13508', '20030701', '20030621', 'Dhannang', 'Anak I', 'dr Kunarti', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13509, '72000701', '2003', '13509', '20030701', '20030626', '', 'Pegawai', 'dr Chandra', '811199', 293600, 293600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13510, '16801865', '2003', '13510', '20030701', '20030621', '', 'Anak I', 'dr Songan', '811199', 60700, 60700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13511, '63950190', '2003', '13511', '20030701', '20030620', '', 'Anak I', 'RS Hermina', '811199', 238280, 238280, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13512, '64980559', '2003', '13512', '20030701', '20030611', 'Malika Daeng Ratang', 'Isteri', 'drg Aes P', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13513, '69950162', '2003', '13513', '20030701', '20030623', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 347180, 347180, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13514, '62910013', '2003', '13514', '20030701', '20030630', '', 'Anak I', 'dr Azwir', '811199', 119700, 119700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13515, '60930116', '2003', '13515', '20030701', '20030628', '', 'Isteri', 'RS MMC', '811199', 817050, 817050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13516, '66950191', '2003', '13516', '20030701', '20030624', '', 'Anak I', 'RSPI', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13517, '68950174', '2003', '13517', '20030701', '20030602', 'Irawati Syurman', 'Isteri', 'dr Marjono', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13518, '70980570', '2003', '13518', '20030701', '20030627', 'Nabil', 'Anak I', 'RS Haji', '811199', 135900, 135900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13519, '70950370', '2003', '13519', '20030701', '20030628', '', 'Pegawai', 'RSB YPK', '811199', 186000, 186000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13520, '61000731', '2003', '13520', '20030701', '20030614', '', 'Pegawai', 'RS Barromeus', '811199', 231500, 231500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13521, '69950222', '2003', '13521', '20030701', '20030617', 'Jacinta', 'Anak I', 'YPK', '811199', 343000, 343000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13522, '61920069', '2003', '13522', '20030701', '20030626', 'Nabila Maharani', 'Anak III', 'Aptk Sarika', '811199', 425050, 425050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13523, '69000669', '2003', '13523', '20030701', '20030619', '', 'Anak I', 'Klinik Graha Kurnia', '811199', 86000, 86000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13524, '79010904', '2003', '13524', '20030701', '20030625', '', 'Pegawai', 'dr Supranoto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13525, '64980559', '2003', '13525', '20030701', '20030621', 'Malika Daeng Ratang', 'Isteri', 'drg Elina', '811199', 452000, 452000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13526, '72950205', '2003', '13526', '20030701', '20030627', 'Rony Romelah', 'Isteri', 'RS Tumbuh Kembang', '811199', 45900, 45900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13527, '65920033', '2003', '13527', '20030701', '20030627', 'Eti Karyati', 'Isteri', 'dr Agus', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13528, '57910014', '2003', '13528', '20030701', '20030624', 'Amir Shiddiq', 'Anak I', 'dr Yacob', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13529, '74950226', '2003', '13529', '20030701', '20030627', 'Syifa Ghallyah', 'Anak I', 'dr K Gunawan', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13530, '70950183', '2003', '13530', '20030701', '20030628', '', 'Pegawai', 'Apotik Senopati', '811199', 225500, 225500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13531, '70950183', '2003', '13531', '20030701', '20030625', '', 'Pegawai', 'RS Medistra', '811199', 307200, 307200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13532, '70950204', '2003', '13532', '20030701', '20030629', 'Rustini', 'Isteri', 'dr D Djamal', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13533, '60950218', '2003', '13533', '20030701', '20030621', 'Jerimia', 'Anak I', 'Aptk Sion', '811199', 158400, 158400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13534, '69960396', '2003', '13534', '20030701', '20030627', 'Dhiwi Susanti', 'Isteri', 'RS Puri Medika', '811199', 131000, 131000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13535, '17300761', '2003', '13535', '20030701', '20030619', '', 'Pegawai', 'Aptk Sigarindo', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13536, '72099654', '2003', '13536', '20030701', '20030628', '', 'Isteri', 'JMC', '811199', 83400, 83400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13537, '70930145', '2003', '13537', '20030701', '20030628', '', 'Pegawai', 'dr Vanda', '811199', 112300, 112300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13538, '76021234', '2003', '13538', '20030701', '20030630', '', 'Pegawai', 'drg Maya M T', '811199', 72500, 72500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13539, '76021234', '2003', '13539', '20030701', '20030630', '', 'Pegawai', 'Aptk Mulya', '811199', 7600, 7600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13540, '66920043', '2003', '13540', '20030704', '20030625', 'Fathonah', 'Isteri', 'RS Duren Tiga', '811199', 169700, 169700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13541, '66930135', '2003', '13541', '20030704', '20030703', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 530196, 530196, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13542, '66930135', '2003', '13542', '20030704', '20030703', 'Irsyad Barran Lubis', 'Anak II', 'RS Pertamina', '811199', 263500, 263500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13543, '60930108', '2003', '13543', '20030704', '20030702', '', 'Pegawai', 'Lab Klinik Halim', '811199', 701000, 701000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13544, '16701946', '2003', '13544', '20030704', '20030627', '', 'Anak I', 'dr Ibnu', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13545, '75010905', '2003', '13545', '20030704', '20030703', '', 'Pegawai', 'Klinik Ladokgi', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13546, '65960379', '2003', '13546', '20030704', '20030626', 'Muhammad Kemal Ramadhan', 'Anak I', 'Aptk Dahlia', '811199', 164200, 164200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13547, '72000696', '2003', '13547', '20030704', '20030627', 'M Rafi', 'Anak I', 'RS Hermina', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13548, '66920073', '2003', '13548', '20030704', '20030529', '', 'Anak I', 'RS Mary', '811199', 207000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13549, '76021048', '2003', '13549', '20030704', '20030630', '', 'Pegawai', 'JMC', '811199', 82600, 82600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13550, '63990637', '2003', '13550', '20030704', '20030628', 'Aulia Rahman', 'Anak II', 'dr Amir Hamzas', '811199', 397130, 397130, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13551, '81042279', '2003', '13551', '20030704', '20030628', '', 'Pegawai', 'Gina', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13552, '68950371', '2003', '13552', '20030704', '20030628', '', 'Pegawai', 'drg Suhanda', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13553, '69021086', '2003', '13553', '20030704', '20030628', '', 'Isteri', 'dr Sistia', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13554, '72000794', '2003', '13554', '20030704', '20030621', '', 'Anak I', 'dr Yulidar', '811199', 102550, 102550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13555, '72000701', '2003', '13555', '20030704', '20030628', 'Ziva', 'Anak I', 'dr Sukriman', '811199', 148300, 148300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13556, '57930113', '2003', '13556', '20030704', '20030701', 'Anggraini Rahayu Widyanti', 'Anak I', 'RSPI', '811199', 147465, 147465, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13557, '69960382', '2003', '13557', '20030704', '20030624', '', 'Pegawai', 'Klinik Bintaro', '811199', 176000, 176000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13558, '78042328', '2003', '13558', '20030704', '20030701', '', 'Pegawai', 'drg Robert Lesang', '811199', 212000, 212000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13559, '75031490', '2003', '13559', '20030704', '20030620', '', 'Pegawai', 'RS Medistra', '811199', 275400, 275400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13560, '63970464', '2003', '13560', '20030704', '20030701', '', 'Pegawai', 'Ladokgi', '811199', 57000, 57000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13561, '69950222', '2003', '13561', '20030704', '20030701', '', 'Anak I', 'YPK', '811199', 166000, 166000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13562, '61950175', '2003', '13562', '20030704', '20030701', '', 'Pegawai', 'RS Hermina', '811199', 608750, 608750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13563, '66980545', '2003', '13563', '20030704', '20030620', '', 'Pegawai', '', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13564, '65000730', '2003', '13564', '20030704', '20030619', 'M.Fakhri S', 'Anak I', 'RS Baromeus', '811199', 297000, 297000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13565, '57920024', '2003', '13565', '20030704', '20030627', '', 'Isteri', 'RS Mitra', '811199', 213000, 213000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13566, '74021263', '2003', '13566', '20030704', '20030629', '', 'Anak I', 'dr Bambang', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13567, '75990602', '2003', '13567', '20030704', '20030702', '', 'Pegawai', 'RS Hermina', '811199', 159350, 159350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13568, '75031506', '2003', '13568', '20030704', '20030303', '', 'Pegawai', 'DR Lili Kamalia', '811199', 227450, 227450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13569, '72031509', '2003', '13569', '20030704', '20030627', '', 'Pegawai', 'dr Arif Riswayadi', '811199', 215329, 215329, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13570, '73031744', '2003', '13570', '20030704', '20030303', '', 'Pegawai', 'Klinik Al-Fauzan', '811199', 222000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13571, '57920024', '2003', '13571', '20030708', '20030512', '', 'Anak I', 'RS Mitra', '811199', 365000, 365000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13572, '71960398', '2003', '13572', '20030708', '20030704', '', 'Isteri', 'RS Graha M', '811199', 443250, 443250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13573, '71990574', '2003', '13573', '20030708', '20030702', '', 'Pegawai', 'Klinik Depok', '811199', 54400, 54400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13574, '27400906', '2003', '13574', '20030708', '20030701', '', 'Anak I', 'dr H Zainal', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13575, '57920024', '2003', '13575', '20030708', '20030701', '', 'Isteri', 'dr Fimia', '811199', 890000, 890000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13576, '66920106', '2003', '13576', '20030708', '20030628', '', 'Anak I', 'dr Yati', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13577, '66920067', '2003', '13577', '20030708', '20030704', '', 'Anak I', 'dr Ahmad', '811199', 352600, 352600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13578, '61950175', '2003', '13578', '20030708', '20030705', '', 'Pegawai', 'RS hermina', '811199', 430000, 335950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13579, '76021234', '2003', '13579', '20030708', '20030704', '', 'Pegawai', 'drg Maya', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13580, '66950191', '2003', '13580', '20030708', '20030703', '', 'Pegawai', 'dr Taufik', '811199', 451750, 311959, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13581, '70990648', '2003', '13581', '20030708', '20030701', 'Faizah Rahmah Izzatudini', 'Anak I', 'Pekayon Jaya', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13582, '70970475', '2003', '13582', '20030708', '20030706', '', 'Isteri', 'RS Hermina', '811199', 397000, 397000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13583, '75990602', '2003', '13583', '20030708', '20030705', '', 'Pegawai', 'RS Hermina', '811199', 211700, 211700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13584, '69960401', '2003', '13584', '20030708', '20030702', 'Rafiqi Luthfan', 'Anak I', 'drg Syahrir', '811199', 650000, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13585, '78031463', '2003', '13585', '20030708', '20030706', '', 'Pegawai', 'dr Vita', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13586, '67920065', '2003', '13586', '20030708', '20030627', '', 'Pegawai', 'Global Medika', '811199', 48000, 24025, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13587, '57980555', '2003', '13587', '20030708', '20030702', '', 'Pegawai', 'dr Endang', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13588, '57980555', '2003', '13588', '20030708', '20030703', 'Rizki Savitri', 'Anak II', 'drg Reni', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13589, '54099650', '2003', '13589', '20030708', '20030702', '', 'Pegawai', 'RS Medistra', '811199', 381000, 381000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13590, '67950203', '2003', '13590', '20030708', '20030701', '', 'Pegawai', 'Klinik Syarif', '811199', 348100, 348100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13591, '65920018', '2003', '13591', '20030708', '20030705', '', 'Pegawai', 'dr Himawan', '811199', 151500, 151500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13592, '72031488', '2003', '13592', '20030708', '20030706', '', 'Pegawai', 'Aptk Century', '811199', 236900, 236900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13593, '56950201', '2003', '13593', '20030708', '20030704', '', 'Pegawai', 'Yay Citama', '811199', 932000, 932000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13594, '65930147', '2003', '13594', '20030708', '20030701', '', 'Anak I', 'RS Harum', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13595, '64960402', '2003', '13595', '20030708', '20030705', '', 'Pegawai', 'RS Medistra', '811199', 164100, 164100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13596, '75020004', '2003', '13596', '20030708', '20030630', '', 'Isteri', 'drg Ajiwaras', '811199', 184000, 184000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13597, '75020004', '2003', '13597', '20030708', '20030628', '', 'Pegawai', 'dr Gunawan', '811199', 359900, 359900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13598, '73010858', '2003', '13598', '20030708', '20030628', '', 'Isteri', 'RS Mitra Int,l', '811199', 292300, 292300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13599, '60920075', '2003', '13599', '20030708', '20030627', 'Harmien Citra Gayatri', 'Anak II', 'dr Tadjudin', '811199', 361100, 361100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13600, '71990647', '2003', '13600', '20030708', '20030707', '', 'Anak I', 'RS HR Kita', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13601, '67960411', '2003', '13601', '20030715', '20030712', 'Endang Kuspringati S', 'Isteri', 'RS Bunda', '811199', 156000, 156000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13602, '72000696', '2003', '13602', '20030715', '20030713', '', 'Anak I', 'Aptk Rini', '811199', 101200, 101200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13603, '74990649', '2003', '13603', '20030715', '20030710', '', 'Pegawai', 'dr Yanuar', '811199', 204000, 204000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13604, '69021141', '2003', '13604', '20030715', '20030711', '', 'Pegawai', 'dr Djoni', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13605, '66950355', '2003', '13605', '20030715', '20030623', '', 'Isteri', 'dr T.Z Jacoeb', '811199', 611000, 611000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13606, '16900803', '2003', '13606', '20030715', '20030710', '', 'Isteri', 'RS Mitra Int,l', '811199', 187200, 187200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13607, '63920047', '2003', '13607', '20030715', '20030707', '', 'Anak I', 'dr Miranda', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13608, '66920035', '2003', '13608', '20030715', '20030706', 'Rayyan Attarr Z.A.', 'Anak II', 'RSIB,dr Firman', '811199', 1398700, 1243900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13609, '67950193', '2003', '13609', '20030715', '20030705', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'RS MMC', '811199', 297900, 297900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13610, '76021234', '2003', '13610', '20030715', '20030707', '', 'Pegawai', 'dr Iswahyudi RHS', '811199', 33600, 33600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13611, '70950370', '2003', '13611', '20030715', '20030708', '', 'Pegawai', 'dr JP Aulia', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13612, '17501895', '2003', '13612', '20030715', '20030709', '', 'Anak I', 'Klinik Medika Sampurna', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13613, '74950226', '2003', '13613', '20030715', '20030710', 'Syifa Ghallyah', 'Anak I', 'dr K Gunawan', '811199', 304800, 304800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13614, '49920032', '2003', '13614', '20030715', '20030710', '', 'Pegawai', 'RS Carolus', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13615, '60980529', '2003', '13615', '20030715', '20030710', '', 'Pegawai', 'RS Thamrin', '811199', 83000, 83000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13616, '74950226', '2003', '13616', '20030715', '20030712', 'Sheza M. A.', 'Anak II', 'dr Tan Gek Soan', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13617, '53920027', '2003', '13617', '20030715', '20030710', '', 'Anak I', 'RS Harum', '811199', 185750, 185750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13618, '72950364', '2003', '13618', '20030715', '20030701', '', 'Pegawai', 'RS OMC', '811199', 290150, 290150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13619, '72000701', '2003', '13619', '20030715', '20030712', 'Ziva', 'Anak I', 'dr Kuningan Medical', '811199', 126062, 126062, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13620, '74000725', '2003', '13620', '20030715', '20030710', '', 'Pegawai', 'JEC', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13621, '79030001', '2003', '13621', '20030715', '20030710', '', 'Pegawai', 'drg Mega', '811199', 91400, 91400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13622, '17700818', '2003', '13622', '20030715', '20030710', '', 'Pegawai', 'dr Sabana', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13623, '71011018', '2003', '13623', '20030715', '20030710', '', 'Isteri', 'Yay Yudhasakti', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13624, '57930113', '2003', '13624', '20030715', '20030712', 'Anggraini Rahayu Widyanti', 'Anak I', 'RSPI', '811199', 492132, 492132, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13625, '71021430', '2003', '13625', '20030715', '20030711', '', 'Pegawai', 'dr J Made Wisnu', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13626, '70950183', '2003', '13626', '20030715', '20030704', '', 'Pegawai', 'RS Medistra', '811199', 236300, 236300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13627, '73950170', '2003', '13627', '20030715', '20030708', '', 'Pegawai', 'drg Efrizal', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13628, '73950170', '2003', '13628', '20030715', '20030416', '', 'Pegawai', 'Aptk Zentrum', '811199', 34600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13629, '70000791', '2003', '13629', '20030715', '20030707', 'M. Khalif F.', 'Anak I', 'Yay Jambangan Kasih', '811199', 200000, 147600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13630, '66930135', '2003', '13630', '20030715', '20030705', 'Irsyad Barran Lubis', 'Anak II', 'RS Pertamina', '811199', 98991, 98991, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13631, '68950221', '2003', '13631', '20030715', '20030712', 'Kevin Tria Nugroho', 'Anak I', 'RS Tria Dipa', '811199', 276000, 148925, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13632, '65930143', '2003', '13632', '20030715', '20030613', '', 'Pegawai', 'RS Kebayoran', '811199', 296000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13633, '68950371', '2003', '13633', '20030715', '20030707', 'Amarthya', 'Anak I', 'Kotawisata Medical', '811199', 171600, 171600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13634, '16801896', '2003', '13634', '20030715', '20030703', '', 'Anak I', 'dr Adnan S G', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13635, '63990637', '2003', '13635', '20030715', '20030709', 'Abdul Hadi', 'Anak III', 'dr Erna', '811199', 607000, 607000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13636, '67950168', '2003', '13636', '20030715', '20030704', '', 'Pegawai', 'RS Abdi Waluyo', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13637, '70960409', '2003', '13637', '20030715', '20030705', '', 'Pegawai', 'dr Efrida', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13638, '60950354', '2003', '13638', '20030715', '20030702', 'Damar Surya Irdana', 'Anak II', 'drg Kartika', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13639, '66010859', '2003', '13639', '20030715', '20030707', 'Maulida A.', 'Anak II', 'Bhakti Asih', '811199', 232500, 232500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13640, '72000707', '2003', '13640', '20030715', '20030709', '', 'Anak I', 'dr Tjandra', '811199', 233500, 233500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13641, '66920074', '2003', '13641', '20030715', '20030705', 'Shinta Wahyuni', 'Isteri', 'RSPI', '811199', 644700, 644700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13642, '65940151', '2003', '13642', '20030715', '20030707', '', 'Pegawai', 'dr Hermansyah', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13643, '76031518', '2003', '13643', '20030715', '20030708', '', 'Pegawai', 'dr Khairina', '811199', 247700, 247700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13644, '64950171', '2003', '13644', '20030718', '20030703', '', 'Pegawai', 'Klinik Tomang', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13645, '75021186', '2003', '13645', '20030718', '20030709', '', 'Pegawai', 'Optik Seis', '811199', 650000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13646, '72950205', '2003', '13646', '20030718', '20030716', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 151500, 151500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13647, '66011023', '2003', '13647', '20030718', '20030711', '', 'Pegawai', 'drg Emilia S', '811199', 245700, 245700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13648, '68000752', '2003', '13648', '20030718', '20030711', 'Sri Siswanti SH', 'Isteri', 'RSPI', '811199', 188620, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13649, '65980564', '2003', '13649', '20030718', '20030708', 'Bagas Juwono Priambodo', 'Anak II', 'RS Hermina', '811199', 179300, 179300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13650, '68950371', '2003', '13650', '20030718', '20030715', 'Anggraini', 'Isteri', 'dr Nugraha', '811199', 191500, 191500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13651, '65010987', '2003', '13651', '20030718', '20030712', '', 'Anak I', 'dr Uun K', '811199', 188000, 188000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13652, '66980545', '2003', '13652', '20030718', '20030709', '', 'Anak I', 'RS Tria Dipa', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13653, '17100561', '2003', '13653', '20030718', '20030713', '', 'Pegawai', 'dr Respinah', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13654, '66970463', '2003', '13654', '20030718', '20030714', '', 'Pegawai', 'drg esnyoto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13655, '57920024', '2003', '13655', '20030718', '20030715', '', 'Isteri', 'dr Fimia', '811199', 800000, 800000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13656, '57930113', '2003', '13656', '20030718', '20030715', 'Anggraini Rahayu Widyanti', 'Anak I', 'RSPI', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13657, '58000807', '2003', '13657', '20030718', '20030716', '', 'Anak III', 'dr Rivai', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13658, '71930148', '2003', '13658', '20030718', '20030714', '', 'Pegawai', 'Klinik Medivita', '811199', 117000, 117000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13659, '66970473', '2003', '13659', '20030718', '20030712', '', 'Pegawai', 'drg Fuad', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13660, '67970470', '2003', '13660', '20030718', '20030714', '', 'Pegawai', 'dr Anida', '811199', 354400, 354400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13661, '76010936', '2003', '13661', '20030718', '20030711', '', 'Pegawai', 'drg Sylvia', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13662, '69980544', '2003', '13662', '20030718', '20030710', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 182550, 182550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13663, '67920089', '2003', '13663', '20030718', '20030712', 'Muhammad Ilham Kamil', 'Anak II', 'RS MMC', '811199', 159500, 159500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13664, '60980529', '2003', '13664', '20030718', '20030717', '', 'Pegawai', 'RS Thamrin', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13665, '16701946', '2003', '13665', '20030718', '20030715', '', 'Pegawai', 'dr Ibnu', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13666, '72000794', '2003', '13666', '20030718', '20030708', '', 'Anak I', 'dr Abu Purwanto', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13667, '67980526', '2003', '13667', '20030718', '20030714', '', 'Pegawai', 'RS Harum', '811199', 438050, 438050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13668, '69960413', '2003', '13668', '20030718', '20030716', '', 'Pegawai', 'dr Yustin,Spkk', '811199', 223400, 223400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13669, '60970479', '2003', '13669', '20030718', '20030717', '', 'Pegawai', 'dr Harto Siswanto', '811199', 222000, 222000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13670, '79031748', '2003', '13670', '20030718', '20030610', '', 'Pegawai', 'Klinik Al-Fauzan', '811199', 104000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13671, '64920046', '2003', '13671', '20030718', '20030711', 'Hastati Purwaningsih', 'Isteri', 'drg Tri W', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13672, '61920040', '2003', '13672', '20030722', '20030719', 'Ilham Idris Ardiansyah Pulungan', 'Anak II', 'dr Leopold', '811199', 228200, 228200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13673, '66950220', '2003', '13673', '20030722', '20030712', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 144000, 144000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13674, '70970475', '2003', '13674', '20030722', '20030719', '', 'Isteri', 'RS Hermina', '811199', 173500, 173500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13675, '56950201', '2003', '13675', '20030722', '20030718', 'Sudiangsih', 'Isteri', 'dr Himawan', '811199', 108800, 108800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13676, '71970498', '2003', '13676', '20030722', '20030717', '', 'Pegawai', 'RSB Asih', '811199', 324600, 324600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13677, '69950162', '2003', '13677', '20030722', '20030719', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 345220, 345220, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13678, '71011018', '2003', '13678', '20030722', '20030719', '', 'Isteri', 'drg Usman', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13679, '77011016', '2003', '13679', '20030722', '20030711', '', 'Pegawai', 'RS MMC', '811199', 61200, 61200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13680, '16900803', '2003', '13680', '20030722', '20030710', '', 'Isteri', 'RS Mitra Int,l', '811199', 1516000, 1375300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13681, '17601989', '2003', '13681', '20030722', '20030630', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 1037000, 1037000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13682, '73021088', '2003', '13682', '20030722', '20030713', '', 'Anak II', 'dr Oriono', '811199', 62600, 62600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13683, '59021080', '2003', '13683', '20030722', '20030721', '', 'Isteri', 'dr Jenny', '811199', 260700, 260700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13684, '74950226', '2003', '13684', '20030722', '20030721', 'Syifa Ghallyah', 'Anak I', 'dr K Gunawan', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13685, '74950226', '2003', '13685', '20030722', '20030715', 'Sheza M. A.', 'Anak II', 'dr K Gunawan', '811199', 183400, 183400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13686, '74021263', '2003', '13686', '20030722', '20030719', '', 'Anak I', 'dr Bambang', '811199', 208000, 73766, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13687, '17201001', '2003', '13687', '20030722', '20030717', '', 'Isteri', 'dr Frizar', '811199', 224000, 224000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13688, '69021141', '2003', '13688', '20030722', '20030718', '', 'Pegawai', 'dr Abdul A', '811199', 33000, 33000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13689, '16801865', '2003', '13689', '20030722', '20030719', '', 'Anak I', 'dr Songan', '811199', 121500, 121500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13690, '62920050', '2003', '13690', '20030722', '20030703', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13691, '72950364', '2003', '13691', '20030722', '20030719', '', 'Pegawai', 'RS Tria Dipa', '811199', 183500, 183500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13692, '77021429', '2003', '13692', '20030722', '20030719', '', 'Isteri', 'RS Harapan Bunda', '811199', 285300, 285300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13693, '74950356', '2003', '13693', '20030722', '20030721', 'Hj. Junerah', 'Isteri', 'dr Busisa G', '811199', 267800, 267800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13694, '68000752', '2003', '13694', '20030722', '20030717', 'Harits Sudarsono M', 'Anak I', 'dr Sri', '811199', 126400, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13695, '17300901', '2003', '13695', '20030722', '20030719', '', 'Isteri', 'RS Hermina', '811199', 179975, 179975, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13696, '65940151', '2003', '13696', '20030725', '20030722', '', 'Pegawai', 'dr Hermansyah', '811199', 230600, 230600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13697, '70950370', '2003', '13697', '20030725', '20030723', '', 'Pegawai', 'dr Nadir Chan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13698, '77021138', '2003', '13698', '20030725', '20030717', '', 'Pegawai', 'dr Titi Moertolo', '811199', 352500, 352500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13699, '72000696', '2003', '13699', '20030725', '20030721', '', 'Anak I', 'RS Hermina', '811199', 190700, 190700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13700, '70960414', '2003', '13700', '20030725', '20030721', '', 'Pegawai', 'RS Harapan Kita', '811199', 341800, 341800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13701, '72000701', '2003', '13701', '20030725', '20030721', 'Desi Mirdasari', 'Isteri', 'dr Indraka Prijadi', '811199', 198500, 198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13702, '79021111', '2003', '13702', '20030725', '20030717', '', 'Pegawai', 'dr Rosmijan', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13703, '61920040', '2003', '13703', '20030725', '20030722', 'Etty Rukhiaty Siregar ,SH', 'Isteri', 'dr Wahyu', '811199', 436308, 392587, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13704, '17301957', '2003', '13704', '20030725', '20030714', '', 'Isteri', 'RSPI', '811199', 298426, 298426, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13705, '17301957', '2003', '13705', '20030725', '20030706', '', 'Pegawai', 'Optik Java', '811199', 460000, 460000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13706, '43950002', '2003', '13706', '20030805', '20030721', '', 'Pegawai', '', '811199', 2504150, 2504150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13707, '75990580', '2003', '13707', '20030725', '20030722', '', 'Pegawai', 'dr I Made Wisnu', '811199', 357900, 357900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13708, '16701946', '2003', '13708', '20030725', '20030723', '', 'Anak I', 'dr Wiranto', '811199', 132400, 132400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13709, '67920054', '2003', '13709', '20030725', '20030720', 'Tamam Ibrahim Satrio', 'Anak I', 'RS Tria Dipa', '811199', 164500, 164500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13710, '72000763', '2003', '13710', '20030725', '20030723', '', 'Pegawai', 'Klinik JMC', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13711, '66920064', '2003', '13711', '20030725', '20030721', '', 'Isteri', 'dr Rini Teguh', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13712, '70930144', '2003', '13712', '20030725', '20030720', '', 'Anak I', 'RS Graha Medika', '811199', 390540, 389779, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13713, '61970468', '2003', '13713', '20030725', '20030716', '', 'Pegawai', 'RS Harapan Kita', '811199', 70800, 70800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13714, '70010898', '2003', '13714', '20030725', '20030723', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 305100, 305100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13715, '65980552', '2003', '13715', '20030725', '20030721', 'Faiz Afif', 'Anak II', 'drg Yenny', '811199', 326500, 326500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13716, '81042279', '2003', '13716', '20030725', '20030722', '', 'Pegawai', 'aptk Ujang', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13717, '65920077', '2003', '13717', '20030725', '20030717', '', 'Pegawai', 'drg Maria', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13718, '65920077', '2003', '13718', '20030725', '20030709', '', 'Pegawai', 'drg Gunawan', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13719, '69000669', '2003', '13719', '20030725', '20030717', '', 'Anak I', 'Klinik Gra Kurnia', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13720, '73021081', '2003', '13720', '20030731', '20030718', '', 'Anak I', 'dr Tintan', '811199', 101400, 101400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13721, '77021068', '2003', '13721', '20030731', '20030728', '', 'Pegawai', 'RSPI', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13722, '60970474', '2003', '13722', '20030731', '20030630', '', 'Pegawai', 'drg Gina', '811199', 275000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13723, '60970474', '2003', '13723', '20030731', '20030719', '', 'Pegawai', 'dr Etty', '811199', 482500, 482500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13724, '66970473', '2003', '13724', '20030731', '20030717', '', 'Pegawai', 'Yay Bina Sehat', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13725, '72950205', '2003', '13725', '20030731', '20030727', 'Rony Romelah', 'Isteri', 'RS Tumbuh Kembang', '811199', 51400, 51400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13726, '66000735', '2003', '13726', '20030731', '20030721', 'Wizhayati', 'Isteri', 'RS Tugu Ibu', '811199', 164600, 164600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13727, '75980563', '2003', '13727', '20030731', '20030716', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 328535, 328535, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13728, '75020001', '2003', '13728', '20030731', '20030707', '', 'Pegawai', 'dr Spesialis Satita', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13729, '79021153', '2003', '13729', '20030731', '20030708', '', 'Pegawai', 'dr Haryono', '811199', 122000, 122000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13730, '79021153', '2003', '13730', '20030731', '20030710', '', 'Pegawai', 'Optical Julius', '811199', 525000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13731, '49920032', '2003', '13731', '20030731', '20030724', '', 'Pegawai', 'RS Carolus', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13732, '71940159', '2003', '13732', '20030731', '20030730', '', 'Pegawai', 'RS Medistra', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13733, '71950200', '2003', '13733', '20030731', '20030725', '', 'Pegawai', 'dr Nugroho', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13734, '70950183', '2003', '13734', '20030731', '20030725', '', 'Pegawai', 'Kt Wisata MC', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13735, '77000672', '2003', '13735', '20030731', '20030725', '', 'Pegawai', 'RS Siloam', '811199', 329925, 329925, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13736, '70970487', '2003', '13736', '20030731', '20030726', '', 'Pegawai', 'dr Dewi Martini', '811199', 429100, 429100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13737, '60950189', '2003', '13737', '20030731', '20030705', '', 'Pegawai', 'RS Bumi Lestari', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13738, '70990648', '2003', '13738', '20030731', '20030728', '', 'Pegawai', 'Oldi Mitra Medical', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13739, '67920089', '2003', '13739', '20030731', '20030725', '', 'Pegawai', 'JMC', '811199', 243700, 243700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13740, '66990584', '2003', '13740', '20030731', '20030714', 'Andi Maysita Areshaska', 'Anak I', 'RS Islam Jakut', '811199', 87500, 87500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13741, '71000727', '2003', '13741', '20030731', '20030717', '', 'Pegawai', 'dr Warsito', '811199', 167500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13742, '67950193', '2003', '13742', '20030731', '20030727', '', 'Pegawai', 'Klinik Buncit Raya', '811199', 47000, 47000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13743, '27400906', '2003', '13743', '20030731', '20030722', '', 'Anak I', 'dr H Zainal', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13744, '63950202', '2003', '13744', '20030731', '20030728', 'Eviyundari', 'Anak I', 'dr Erni', '811199', 335600, 335600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13745, '76970457', '2003', '13745', '20030731', '20030717', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13746, '17300761', '2003', '13746', '20030731', '20030723', '', 'Pegawai', 'Aptk Syarindo', '811199', 354500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13747, '69021141', '2003', '13747', '20030731', '20030725', '', 'Anak I', 'dr Nur H', '811199', 84000, 84000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13748, '65920018', '2003', '13748', '20030731', '20030729', 'Aslha', 'Anak III', 'dr Rachmat', '811199', 149200, 149200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13749, '70000684', '2003', '13749', '20030731', '20030729', '', 'Pegawai', 'dr Gatami', '811199', 176200, 176200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13750, '60910007', '2003', '13750', '20030731', '20030730', '', 'Pegawai', 'Aptk Rini', '811199', 112000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13751, '60910007', '2003', '13751', '20030731', '20030721', '', 'Pegawai', 'dr Euis Husni', '811199', 344500, 344500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13752, '78031489', '2003', '13752', '20030731', '20030729', '', 'Pegawai', 'Aptk Sahabat', '811199', 85000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13753, '64930120', '2003', '13753', '20030731', '20030714', 'Nora Audira Brabo', 'Isteri', 'RSPI', '811199', 1568950, 1509162, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13754, '72980510', '2003', '13754', '20030731', '20030729', '', 'Isteri', 'RS Harapan Bunda', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13755, '72000701', '2003', '13755', '20030731', '20030729', '', 'Pegawai', 'dr Syukirman', '811199', 246000, 246000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13756, '65960408', '2003', '13756', '20030731', '20030728', '', 'Pegawai', 'drg Maria', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13757, '71960398', '2003', '13757', '20030731', '20030729', '', 'Isteri', 'RS Graha M', '811199', 483000, 483000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13758, '70950214', '2003', '13758', '20030731', '20030729', '', 'Pegawai', 'Klinik Remedika', '811199', 362600, 362600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13759, '65010987', '2003', '13759', '20030731', '20030715', '', 'Isteri', 'RS Hermina Bekasi', '811199', 173500, 173500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13760, '65021085', '2003', '13760', '20030731', '20030718', '', 'Pegawai', 'dr Radwin S', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13761, '69021047', '2003', '13761', '20030731', '20030721', '', 'Pegawai', 'dr Hartaniah', '811199', 719000, 719000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13762, '60930116', '2003', '13762', '20030805', '20030719', '', 'Pegawai', 'Kemang Dental', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13763, '67950193', '2003', '13763', '20030805', '20030801', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'RS MMC', '811199', 1890800, 1890800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13764, '60920041', '2003', '13764', '20030805', '20030611', 'Dewi Handayani', 'Isteri', 'dr Ade Rachmawati', '811199', 250000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13765, '60920041', '2003', '13765', '20030805', '20030729', 'Dewi Handayani', 'Isteri', 'dr Ade Rachmat', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13766, '70950231', '2003', '13766', '20030805', '20030802', '', 'Pegawai', 'dr Herdiman', '811199', 233100, 233100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13767, '74950356', '2003', '13767', '20030805', '20030725', 'Thifal N.', 'Anak II', 'dr Setiawan', '811199', 243400, 243400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13768, '63950190', '2003', '13768', '20030805', '20030726', '', 'Anak I', 'Klinik Artha Sari', '811199', 130000, 6858, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13769, '64980559', '2003', '13769', '20030805', '20030721', 'Virtiany Pradawani', 'Anak I', 'RS Patria', '811199', 770000, 228000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13770, '65920077', '2003', '13770', '20030805', '20030728', '', 'Pegawai', 'drg Maria', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13771, '60950189', '2003', '13771', '20030805', '20030731', '', 'Pegawai', 'Klinik Medika', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13772, '74031496', '2003', '13772', '20030805', '20030724', '', 'Pegawai', 'ENT Centre', '811199', 163600, 163600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13773, '71011018', '2003', '13773', '20030805', '20030731', '', 'Anak I', 'Rofifa Medika', '811199', 105500, 105500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13774, '70930145', '2003', '13774', '20030805', '20030731', '', 'Pegawai', 'drg Retno', '811199', 192900, 192900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13775, '65960399', '2003', '13775', '20030805', '20030726', '', 'Anak I', 'RS Hermina', '811199', 329880, 329880, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13776, '70950204', '2003', '13776', '20030805', '20030731', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13777, '66970463', '2003', '13777', '20030805', '20030717', '', 'Pegawai', 'Kimia Farma', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13778, '66990584', '2003', '13778', '20030805', '20030802', 'Andi Maysita Areshaska', 'Anak I', 'dr Vidyapati', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13779, '64970465', '2003', '13779', '20030805', '20030803', '', 'Pegawai', 'JMC', '811199', 238300, 238300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13780, '73010858', '2003', '13780', '20030805', '20030725', '', 'Isteri', 'RS Mitra Int,l', '811199', 223000, 223000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13781, '17201001', '2003', '13781', '20030805', '20030726', '', 'Isteri', 'dr Frizar', '811199', 391400, 391400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13782, '16900803', '2003', '13782', '20030805', '20030722', '', 'Isteri', 'RS Mitra Int,l', '811199', 909400, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13783, '78021264', '2003', '13783', '20030805', '20030729', '', 'Pegawai', 'Aptk Bersama', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13784, '71980506', '2003', '13784', '20030805', '20030730', '', 'Pegawai', 'dr Nugroho', '811199', 202600, 202600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13785, '78000693', '2003', '13785', '20030805', '20030728', '', 'Pegawai', 'Klinik Graha kuningan', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13786, '69950162', '2003', '13786', '20030805', '20030804', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 115802, 115802, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13787, '64950219', '2003', '13787', '20030805', '20030802', '', 'Pegawai', 'drg Sunarso', '811199', 260200, 260200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13788, '63970483', '2003', '13788', '20030805', '20030711', '', 'Anak I', 'dr Abdurahman', '811199', 248200, 248200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13789, '68920053', '2003', '13789', '20030805', '20030725', '', 'Anak III', 'dr Windrato', '811199', 84000, 84000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13790, '70031507', '2003', '13790', '20030805', '20030803', '', 'Anak I', 'dr Koesprapto', '811199', 163500, 163500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13791, '66920106', '2003', '13791', '20030805', '20030802', 'Fitriani', 'Isteri', 'BP Fitra', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13792, '67920049', '2003', '13792', '20030805', '20030716', '', 'Anak I', 'dr Adnan', '811199', 139700, 139700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13793, '60930108', '2003', '13793', '20030805', '20030729', 'Samara Sahrita Jahja', 'Isteri', 'Dental Art', '811199', 956000, 956000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13794, '76010950', '2003', '13794', '20030805', '20030725', '', 'Pegawai', 'JMC', '811199', 30300, 30300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13795, '67920054', '2003', '13795', '20030807', '20030728', '', 'Anak II', 'RS Graha Medika', '811199', 99600, 99600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13796, '75980569', '2003', '13796', '20030807', '20030717', '', 'Pegawai', 'dr Mixon', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13797, '75980569', '2003', '13797', '20030807', '20030717', '', 'Pegawai', 'Aptk Tiara Sella', '811199', 149800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13798, '63910010', '2003', '13798', '20030807', '20030804', 'Erna Deliana', 'Isteri', 'dr Titi Moertolo', '811199', 509850, 509850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13799, '59950195', '2003', '13799', '20030807', '20030728', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 328100, 328100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13800, '61920069', '2003', '13800', '20030807', '20030804', 'Nabila Maharani', 'Anak III', 'Aptk Sarika', '811199', 317850, 317850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13801, '63920052', '2003', '13801', '20030807', '20030805', '', 'Pegawai', 'Medical Care', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13802, '69950209', '2003', '13802', '20030807', '20030727', '', 'Anak I', 'JMC', '811199', 40500, 40500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13803, '69021141', '2003', '13803', '20030807', '20030801', '', 'Anak I', 'dr Ellen T', '811199', 216750, 34150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13804, '70970480', '2003', '13804', '20030807', '20030802', '', 'Anak I', 'dr Loky', '811199', 112400, 112400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13805, '65920039', '2003', '13805', '20030807', '20030715', 'Wiwin W,AMK', 'Isteri', 'RS Harapan Kita', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13806, '16801865', '2003', '13806', '20030807', '20030804', '', 'Pegawai', 'Klinik Limus', '811199', 46000, 46000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13807, '75020004', '2003', '13807', '20030807', '20030729', '', 'Isteri', 'drg Ester Gunawan', '811199', 262000, 262000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13808, '66920064', '2003', '13808', '20030807', '20030727', '', 'Isteri', 'dr Rini Teguh', '811199', 100000, 87978, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13809, '70950370', '2003', '13809', '20030807', '20030804', '', 'Anak I', 'dr H Sofyan', '811199', 283500, 283500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13810, '70990648', '2003', '13810', '20030807', '20030804', 'Faizah Rahmah Izzatudini', 'Anak I', 'dr Dono Utoro', '811199', 182500, 182500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13811, '66970473', '2003', '13811', '20030807', '20030731', '', 'Anak I', 'RS Gandaria', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13812, '60910007', '2003', '13812', '20030807', '20030804', 'Reita Rakhma Andayani', 'Isteri', 'dr E Magdalena', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13813, '71990647', '2003', '13813', '20030807', '20030804', '', 'Anak I', 'RS HR Kita', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13814, '69960382', '2003', '13814', '20030807', '20030730', 'Dessy Triastuti', 'Isteri', 'Panji Husada', '811199', 309000, 309000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13815, '17901973', '2003', '13815', '20030807', '20030718', '', 'Pegawai', 'Denta Medika', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13816, '57930113', '2003', '13816', '20030807', '20030727', '', 'Pegawai', 'RSPI', '811199', 168792, 168792, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13817, '72000696', '2003', '13817', '20030807', '20030728', '', 'Anak I', 'RS Hermina', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13818, '43950002', '2003', '13818', '20030807', '20030728', '', 'Pegawai', '', '811199', 1259100, 1259100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13819, '62920017', '2003', '13819', '20030807', '20030806', '', 'Pegawai', 'RS Tria Dipa', '811199', 217845, 217845, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13820, '57920024', '2003', '13820', '20030807', '20030804', '', 'Anak I', 'RS Mitra', '811199', 308000, 308000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13821, '72021050', '2003', '13821', '20030807', '20030705', '', 'Pegawai', 'dr Sonja L', '811199', 235000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13822, '68920057', '2003', '13822', '20030807', '20030802', '', 'Isteri', 'RSPC', '811199', 109600, 109600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13823, '63950190', '2003', '13823', '20030807', '20030726', '', 'Anak I', 'Klinik Artha', '811199', 123142, 123142, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13824, '64980559', '2003', '13824', '20030807', '20030721', 'Virtiany Pradawani', 'Anak I', 'RS Patria', '811199', 542000, 360000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13825, '63970483', '2003', '13825', '20030807', '20030729', 'Eli', 'Isteri', 'RS Mitra', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13826, '69000669', '2003', '13826', '20030807', '20030806', '', 'Anak I', 'RSCM', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13827, '73021143', '2003', '13827', '20030807', '20030805', '', 'Pegawai', 'Klinik Medisari', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13828, '77011016', '2003', '13828', '20030807', '20030804', '', 'Pegawai', 'RS Siaga Raya', '811199', 213450, 213450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13829, '58950188', '2003', '13829', '20030812', '20030802', 'Komerahyatun', 'Isteri', 'dr Agung', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13830, '57980555', '2003', '13830', '20030812', '20030802', 'Rusmiati', 'Isteri', 'dr Eva & Aptk', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13831, '72000696', '2003', '13831', '20030812', '20030806', '', 'Anak I', 'Aptk Rini', '811199', 37500, 37500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13832, '60950218', '2003', '13832', '20030812', '20030808', 'Jeremia', 'Anak I', 'drg Elly S', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13833, '67970469', '2003', '13833', '20030812', '20030725', 'Suharti', 'Isteri', 'Klinik Tiara', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13834, '67970469', '2003', '13834', '20030812', '20030806', 'Reza', 'Anak II', 'Aptk Limus', '811199', 71000, 39900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13835, '79021172', '2003', '13835', '20030812', '20030802', '', 'Pegawai', 'RS Cengkareng', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13836, '56950201', '2003', '13836', '20030812', '20030803', 'Devi Winingsih', 'Anak I', 'Dharma Bhakti', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13837, '70970487', '2003', '13837', '20030812', '20030809', '', 'Pegawai', 'RSIB', '811199', 277600, 277600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13838, '60950189', '2003', '13838', '20030812', '20030805', '', 'Pegawai', 'RS Budi Lestari', '811199', 79500, 79500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13839, '70950177', '2003', '13839', '20030812', '20030806', 'Haqeem Jabbar  Al-Galaseul', 'Anak I', 'RSTK', '811199', 131600, 131600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13840, '57910014', '2003', '13840', '20030812', '20030808', 'Suwarni', 'Isteri', 'dr Yacob', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13841, '67960411', '2003', '13841', '20030812', '20030805', 'Achmad Rizki Noversi', 'Anak I', 'dr Umi', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13842, '67920089', '2003', '13842', '20030812', '20030802', 'Muhammad Ilham Kamil', 'Anak II', 'MMC', '811199', 148400, 148400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13843, '71960403', '2003', '13843', '20030812', '20030801', '', 'Pegawai', 'drg Elisabeth', '811199', 641400, 641400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13844, '17300785', '2003', '13844', '20030812', '20030806', '', 'Pegawai', 'dr Aqil', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13845, '70950214', '2003', '13845', '20030812', '20030809', '', 'Anak I', 'drg Ine', '811199', 231100, 231100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13846, '61970468', '2003', '13846', '20030812', '20030811', '', 'Pegawai', 'RS Harapan Kita', '811199', 54100, 54100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13847, '75031506', '2003', '13847', '20030812', '20030806', '', 'Pegawai', 'dr Lili Kamalia', '811199', 69400, 69400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13848, '66970495', '2003', '13848', '20030814', '20030729', '', 'Pegawai', 'dr Soeprapto', '811199', 103100, 103100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13849, '66990584', '2003', '13849', '20030814', '20030804', 'Andi Firyal', 'Anak II', 'Balai Al-Iman', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13850, '59920056', '2003', '13850', '20030814', '20030726', 'Bachtiar Arifin', 'Anak I', 'RS Islam Jakarta', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13851, '67940157', '2003', '13851', '20030814', '20030723', '', 'Isteri', 'Apk Pulo Asem', '811199', 388500, 388500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13852, '71950200', '2003', '13852', '20030814', '20030731', '', 'Pegawai', 'dr Pahry', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13853, '70930145', '2003', '13853', '20030814', '20030811', '', 'Pegawai', 'JMC', '811199', 440000, 440000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13854, '64000846', '2003', '13854', '20030814', '20030808', 'E. H Wahyuningsih', 'Isteri', 'dr Bambang', '811199', 145900, 145900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13855, '69021141', '2003', '13855', '20030814', '20030808', '', 'Anak I', 'dr Ellen T', '811199', 106500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13856, '66000735', '2003', '13856', '20030814', '20030706', '', 'Anak I', 'dr Azwir Zainal', '811199', 74600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13857, '66000735', '2003', '13857', '20030814', '20030810', '', 'Anak II', 'dr Azwir Zainal', '811199', 194900, 194900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13858, '70031507', '2003', '13858', '20030814', '20030811', '', 'Isteri', 'dr Koesprapto', '811199', 100700, 100700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13859, '71990574', '2003', '13859', '20030814', '20030811', '', 'Pegawai', 'RSIA Hermina', '811199', 326770, 326770, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13860, '79021076', '2003', '13860', '20030814', '20030813', '', 'Pegawai', 'drg Febriyanti', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13861, '65960379', '2003', '13861', '20030814', '20030807', 'Muhammad Kemal Ramadhan', 'Anak I', 'dr Taralan T', '811199', 94000, 94000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13862, '72950205', '2003', '13862', '20030814', '20030813', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 211700, 211700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13863, '57920024', '2003', '13863', '20030725', '20030724', '', 'Isteri', 'RS Mitra', '811199', 242800, 242800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13864, '66010859', '2003', '13864', '20030725', '20030722', 'Anisya B.', 'Anak I', 'dr Santy', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13865, '77000678', '2003', '13865', '20030725', '20030710', '', 'Pegawai', 'RS Medistra', '811199', 228700, 228700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13866, '77000678', '2003', '13866', '20030725', '20030720', '', 'Pegawai', 'RSPI', '811199', 171095, 171095, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13867, '70970480', '2003', '13867', '20030725', '20030716', '', 'Pegawai', 'RSB YPK', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13868, '70970480', '2003', '13868', '20030725', '20030712', '', 'Anak I', 'RS MMC', '811199', 197700, 197700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13869, '67950172', '2003', '13869', '20030731', '20030703', '', 'Pegawai', 'dr Jimmy', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13870, '62042478', '2003', '13870', '20030731', '20030729', '', 'Anak I', 'dr Minamand Bapa', '811199', 83500, 83500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13871, '70970475', '2003', '13871', '20030731', '20030726', '', 'Isteri', 'RS Hermina', '811199', 102500, 102500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13872, '64950219', '2003', '13872', '20030731', '20030727', '', 'Pegawai', 'drg Sunarso', '811199', 260100, 260100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13873, '70950204', '2003', '13873', '20030731', '20030718', 'Rustini', 'Isteri', 'dr D Djamal', '811199', 146900, 146900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13874, '70960414', '2003', '13874', '20030731', '20030728', '', 'Pegawai', 'RS Harapan Kita', '811199', 351800, 351800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])

VALUES (13875, '66990584', '2003', '13875', '20030731', '20030728', 'Andi Firyal', 'Anak II', 'RS Islam Jakut', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13876, '70000717', '2003', '13876', '20030731', '20030726', '', 'Isteri', 'RS Int,l Bintaro', '811199', 377800, 377800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13877, '74000719', '2003', '13877', '20030731', '20030728', '', 'Pegawai', 'RS Bunda', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13878, '74021263', '2003', '13878', '20030731', '20030727', '', 'Anak I', 'dr Bambang', '811199', 240000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13879, '69960396', '2003', '13879', '20030731', '20030727', 'Dhiwi Susanti', 'Isteri', 'Yasmin Medika', '811199', 42000, 42000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13880, '66000735', '2003', '13880', '20030731', '20030726', '', 'Anak I', 'dr Azwir Zainal', '811199', 213500, 213500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13881, '17301957', '2003', '13881', '20030731', '20030724', '', 'Isteri', 'dr Susan', '811199', 665360, 665360, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13882, '67950213', '2003', '13882', '20030731', '20030710', '', 'Anak I', 'Klinik Mitra II', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13883, '65930147', '2003', '13883', '20030731', '20030728', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 357500, 357500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13884, '51980512', '2003', '13884', '20030731', '20030716', 'Wahdini Zeiniarti', 'Anak I', 'dr Fransisca', '811199', 756000, 756000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13885, '17901973', '2003', '13885', '20030814', '20030811', '', 'Pegawai', 'RS Pelni Petamburan', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13886, '78031463', '2003', '13886', '20030814', '20030813', '', 'Pegawai', 'dr Yeni Amran', '811199', 172900, 172900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13887, '71970498', '2003', '13887', '20030814', '20030719', '', 'Pegawai', 'RSPI', '811199', 1048770, 1048770, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13888, '69950222', '2003', '13888', '20030814', '20030806', '', 'Anak I', 'dr Sofyan', '811199', 267650, 267650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13889, '16801896', '2003', '13889', '20030814', '20030806', '', 'Isteri', 'dr Adnan S G', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13890, '64010984', '2003', '13890', '20030814', '20030721', '', 'Pegawai', 'dr Bersama Satiti', '811199', 612300, 612300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13891, '65010987', '2003', '13891', '20030814', '20030808', '', 'Isteri', 'RS Hermina Bekasi', '811199', 262000, 262000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13892, '69021086', '2003', '13892', '20030814', '20030807', '', 'Anak I', 'Klinik Limus', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13893, '68950221', '2003', '13893', '20030814', '20030813', '', 'Pegawai', 'dr Tjeptjep', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13894, '65920018', '2003', '13894', '20030814', '20030813', 'Irvansyah Firdaus', 'Anak II', 'dr Himawan', '811199', 155500, 155500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13895, '78031437', '2003', '13895', '20030814', '20030812', '', 'Pegawai', 'dr Arnold', '811199', 230100, 230100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13896, '71990647', '2003', '13896', '20030814', '20030805', '', 'Anak I', 'Aptk Roxy', '811199', 123500, 123500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13897, '65960399', '2003', '13897', '20030814', '20030812', 'Mariam', 'Isteri', 'dr A.C Harun', '811199', 261760, 261760, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13898, '27501001', '2003', '13898', '20030814', '20030808', '', 'Isteri', 'dr H Puji Raharjo', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13899, '68950371', '2003', '13899', '20030814', '20030811', 'Anggraini', 'Isteri', 'RS Medistra', '811199', 195500, 195500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13900, '73010858', '2003', '13900', '20030814', '20030808', '', 'Isteri', 'RS Mitra Int,l', '811199', 223000, 223000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13901, '75980563', '2003', '13901', '20030814', '20030808', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 199340, 199340, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13902, '72950205', '2003', '13902', '20030814', '20030812', 'Rizqullah Ishaq', 'Anak I', 'Aptk Gas Alam', '811199', 22300, 22300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13903, '73970495', '2003', '13903', '20030819', '20030807', '', 'Pegawai', 'MMC', '811199', 217400, 217400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13904, '72031488', '2003', '13904', '20030819', '20030817', '', 'Pegawai', 'RS Tria Dipa', '811199', 401895, 401895, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13905, '62910013', '2003', '13905', '20030819', '20030816', '', 'Anak I', 'dr Azwir', '811199', 99900, 99900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13906, '68950221', '2003', '13906', '20030819', '20030816', 'Kevin Tria Nugroho', 'Anak I', 'RS Tria Dipa', '811199', 141000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13907, '76021129', '2003', '13907', '20030819', '20030725', '', 'Pegawai', 'RS Tria Dipa', '811199', 261000, 261000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13908, '60950189', '2003', '13908', '20030819', '20030812', '', '', 'dr Johanes', '811199', 307200, 307200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13909, '60920075', '2003', '13909', '20030819', '20030812', 'Ratna Yunita', 'Isteri', 'dr Tadjudin', '811199', 744900, 744900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13910, '49920032', '2003', '13910', '20030819', '20030812', '', 'Pegawai', 'RS Carolus', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13911, '66950220', '2003', '13911', '20030819', '20030818', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13912, '72950205', '2003', '13912', '20030819', '20030814', 'Rizqullah Ishaq', 'Anak I', 'Aptk Permata Puri', '811199', 22500, 22500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13913, '66010859', '2003', '13913', '20030819', '20030815', 'Maulida A.', 'Anak II', 'Klinik Sasanty', '811199', 168500, 168500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13914, '60950218', '2003', '13914', '20030819', '20030814', 'Jeremia', 'Anak I', 'RS OMC', '811199', 111818, 111818, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13915, '75010905', '2003', '13915', '20030819', '20030809', '', 'Pegawai', 'RS Yadika', '811199', 266000, 266000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13916, '57990576', '2003', '13916', '20030819', '20030805', 'Shinta uspa Giartini', 'Anak II', 'drg Liliana LB', '811199', 80000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13917, '57990576', '2003', '13917', '20030819', '20030715', 'Marga Bimo Haryadi', 'Anak I', 'dr Herindiati', '811199', 70000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13918, '57930124', '2003', '13918', '20030819', '20030808', '', 'Pegawai', 'dr Pudji', '811199', 638800, 638800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13919, '76960435', '2003', '13919', '20030819', '20030719', '', 'Pegawai', 'drg Febriyanti', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13920, '69000687', '2003', '13920', '20030819', '20030806', '', 'Pegawai', 'RS Mata AINI', '811199', 212600, 212600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13921, '70970475', '2003', '13921', '20030819', '20030813', '', 'Isteri', 'RS Hermina', '811199', 379700, 350600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13922, '60910007', '2003', '13922', '20030819', '20030812', 'Reita Rakhma Andayani', 'Isteri', 'dr Erda', '811199', 117400, 117400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13923, '69000669', '2003', '13923', '20030819', '20030812', '', 'Anak I', 'dr Sutarto', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13924, '60950218', '2003', '13924', '20030819', '20030818', 'Jeremia', 'Anak I', 'RS OMC', '811199', 502318, 502318, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13925, '70950199', '2003', '13925', '20030819', '20030710', '', 'Pegawai', 'RS Saint Carolus', '811199', 87000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13926, '78042295', '2003', '13926', '20030819', '20030808', '', 'Pegawai', 'dr Ita', '811199', 97800, 97800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13927, '64980559', '2003', '13927', '20030825', '20030813', 'Virtiany Pradawani', 'Anak I', 'Aptk Roxy', '811199', 567000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13928, '72000703', '2003', '13928', '20030825', '20030816', '', 'Pegawai', 'RS Tria Dipa', '811199', 591300, 591300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13929, '70970487', '2003', '13929', '20030825', '20030816', '', 'Pegawai', 'RS OMC', '811199', 347697, 347697, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13930, '68950341', '2003', '13930', '20030825', '20030821', '', 'Anak I', 'RSAB Harapan Kita', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13931, '58950188', '2003', '13931', '20030825', '20030820', '', 'Pegawai', 'RS Harapan Bunda', '811199', 400600, 400600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13932, '51030006', '2003', '13932', '20030825', '20030820', '', 'Isteri', 'RS Cikini', '811199', 485000, 485000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13933, '80031700', '2003', '13933', '20030825', '20030722', '', 'Pegawai', 'dr Ida Hardjono', '811199', 353000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13934, '80031700', '2003', '13934', '20030825', '20030811', '', 'Pegawai', 'drg L.S Tjandra', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13935, '67950203', '2003', '13935', '20030825', '20030803', 'Rifqi Nabil Muhammad', 'Anak I', 'dr Satrio W', '811199', 92900, 92900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13936, '63990637', '2003', '13936', '20030825', '20030731', 'Abdul Hadi', 'Anak III', 'dr Bambang', '811199', 227000, 227000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13937, '69960382', '2003', '13937', '20030825', '20030819', 'Rizky Maulana Narendra Satria', 'Anak I', 'Panji Husada', '811199', 178000, 178000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13938, '60910007', '2003', '13938', '20030825', '20030821', '', 'Pegawai', 'Ariadita Medika', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13939, '71011018', '2003', '13939', '20030825', '20030821', '', 'Isteri', 'RS Setia Medika', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13940, '72000794', '2003', '13940', '20030825', '20030816', '', 'Anak I', 'dr Firmansyah', '811199', 143600, 143600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13941, '67960411', '2003', '13941', '20030825', '20030816', 'Endang Kuspringati S', 'Isteri', 'RS Bhineka', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13942, '73010858', '2003', '13942', '20030825', '20030813', '', 'Pegawai', 'RSIA TriaMitra', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13943, '75010905', '2003', '13943', '20030825', '20030821', '', 'Pegawai', 'Ladokgi', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13944, '76980539', '2003', '13944', '20030825', '20030818', '', 'Pegawai', 'Aptk Kalibata', '811199', 148500, 148500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13945, '79010904', '2003', '13945', '20030825', '20030813', '', 'Pegawai', 'dr Supranoto', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13946, '69960413', '2003', '13946', '20030825', '20030815', '', 'Pegawai', 'dr Gayanti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13947, '17300785', '2003', '13947', '20030825', '20030819', '', 'Pegawai', 'dr Dixi', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13948, '70980570', '2003', '13948', '20030825', '20030814', '', 'Pegawai', 'RS Haji', '811199', 348400, 348400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13949, '64930120', '2003', '13949', '20030825', '20030819', 'Nora Audira Brabo', 'Isteri', 'RSPI', '811199', 1068581, 1068581, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13950, '49960404', '2003', '13950', '20030825', '20030609', '', 'Pegawai', 'Aptk Melawai', '811199', 30300, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13951, '49960404', '2003', '13951', '20030825', '20030820', 'Sadat', 'Anak I', 'Ladokgi', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13952, '70950370', '2003', '13952', '20030825', '20030819', '', 'Anak I', 'dr H Sofyan', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13953, '70960409', '2003', '13953', '20030825', '20030821', '', 'Pegawai', 'Cipta Husada', '811199', 47000, 47000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13954, '57910014', '2003', '13954', '20030825', '20030821', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13955, '63920047', '2003', '13955', '20030825', '20030819', '', 'Pegawai', 'drg Tabaluyan', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13956, '67970470', '2003', '13956', '20030825', '20030820', '', 'Pegawai', 'drg Nunung', '811199', 1238500, 1238500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13957, '68920053', '2003', '13957', '20030825', '20030806', '', 'Anak III', 'RSIA Hermina', '811199', 241500, 241500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13958, '77021138', '2003', '13958', '20030825', '20030818', '', 'Pegawai', 'dr Titi Moertolo', '811199', 562500, 562500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13959, '76990604', '2003', '13959', '20030825', '20030815', '', 'Pegawai', 'Klinik Graha Kurnia', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13960, '76010869', '2003', '13960', '20030825', '20030820', '', 'Pegawai', 'JMC', '811199', 129500, 129500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13961, '16801865', '2003', '13961', '20030825', '20030816', '', 'Anak I', 'RS Mary', '811199', 77700, 77700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13962, '72000696', '2003', '13962', '20030825', '20030819', '', 'Anak I', 'RSIA Hermina', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13963, '74950356', '2003', '13963', '20030825', '20030820', 'Hj. Junerah', 'Isteri', 'dr Busisa', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13964, '70950370', '2003', '13964', '20030825', '20030823', '', 'Anak I', 'RS Husada', '811199', 256850, 256850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13965, '72950223', '2003', '13965', '20030825', '20030815', '', 'Anak I', 'dr As,at', '811199', 352200, 352200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13966, '79021076', '2003', '13966', '20030825', '20030819', '', 'Pegawai', 'Pala Medika', '811199', 170700, 170700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13967, '72950205', '2003', '13967', '20030825', '20030819', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 156600, 156600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13968, '75021078', '2003', '13968', '20030825', '20030811', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13969, '66920106', '2003', '13969', '20030828', '20030817', '', 'Pegawai', 'BP Fitra', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13970, '65970482', '2003', '13970', '20030828', '20030826', '', 'Pegawai', 'dr Bambang', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13971, '63970476', '2003', '13971', '20030828', '20030815', '', 'Pegawai', 'dr lis surachmiati', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13972, '63970483', '2003', '13972', '20030828', '20030821', 'Eli', 'Isteri', 'dr Abdurahman', '811199', 1641900, 1088600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13973, '69980544', '2003', '13973', '20030828', '20030825', '', 'Pegawai', 'RS Azra', '811199', 424350, 424350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13974, '65970482', '2003', '13974', '20030828', '20030824', '', 'Pegawai', 'dr Bambang', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13975, '17501981', '2003', '13975', '20030828', '20030825', '', 'Pegawai', 'dr sri adi sularsito', '811199', 222800, 222800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13976, '63970464', '2003', '13976', '20030828', '20030728', '', 'Pegawai', 'Ladogi', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13977, '69021141', '2003', '13977', '20030828', '20030815', '', 'Anak I', 'dr Ellen T', '811199', 245000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13978, '72021108', '2003', '13978', '20030828', '20030806', '', 'Anak I', 'dr B Isnuhandoyo', '811199', 149600, 149600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13979, '72021108', '2003', '13979', '20030828', '20030712', '', 'Anak I', 'dr Marlena', '811199', 108500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13980, '76010936', '2003', '13980', '20030828', '20030820', '', 'Pegawai', 'Klinik JRC', '811199', 221000, 221000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13981, '66011023', '2003', '13981', '20030828', '20030808', '', 'Anak I', 'drg Romayana', '811199', 76700, 76700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13982, '66011023', '2003', '13982', '20030828', '20030707', '', 'Anak I', 'drg Romayana', '811199', 40000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13983, '65930147', '2003', '13983', '20030828', '20030825', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 489500, 489500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13984, '16801865', '2003', '13984', '20030828', '20030823', '', 'Anak I', 'dr Hary', '811199', 449000, 449000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13985, '66970473', '2003', '13985', '20030828', '20030809', '', 'Pegawai', 'drg Fuad', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13986, '67970470', '2003', '13986', '20030828', '20030826', '', 'Pegawai', 'Ladokgi', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13987, '69960396', '2003', '13987', '20030828', '20030826', '', 'Anak I', 'dr Dwi Retno', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13988, '64930110', '2003', '13988', '20030828', '20030814', '', 'Isteri', 'RS Inter Bintaro', '811199', 242500, 242500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13989, '70940155', '2003', '13989', '20030828', '20030826', '', 'Pegawai', 'Klinik Embun', '811199', 210500, 210500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13990, '69950209', '2003', '13990', '20030828', '20030827', '', 'Pegawai', 'JMC', '811199', 119100, 119100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13991, '63920052', '2003', '13991', '20030828', '20030824', 'Asti Rizkiana V', 'Isteri', 'Medical Care', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13992, '81031505', '2003', '13992', '20030902', '20030821', '', 'Pegawai', 'Dr. Agus P', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13993, '79031761', '2003', '13993', '20030902', '20030825', '', 'Pegawai', 'RS. Ladokgi', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13994, '60950218', '2003', '13994', '20030902', '20030902', '', 'Anak III', 'Dr. Surastini', '811199', 58000, 58000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13995, '65920039', '2003', '13995', '20030902', '20030802', '', 'Anak I', 'RS. Intr. Bintaro', '811199', 199382, 199382, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13996, '74000719', '2003', '13996', '20030902', '20030829', '', 'Pegawai', 'RS Bunda', '811199', 296200, 296200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13997, '71950200', '2003', '13997', '20030902', '20030815', '', 'Pegawai', 'dr Pahry', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13998, '66930135', '2003', '13998', '20030902', '20030823', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 490231, 490231, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (13999, '66970463', '2003', '13999', '20030902', '20030901', '', 'Pegawai', 'RSAB Harapan KIta', '811199', 534300, 480500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14000, '57920024', '2003', '14000', '20030902', '20020823', '', 'Isteri', 'RS Mitra', '811199', 914200, 914200, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 14001 - 14500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14001, '76030008', '2003', '14001', '20030902', '20030804', '', 'Pegawai', 'Drg Ninik', '811199', 96100, 96100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14002, '65930147', '2003', '14002', '20030902', '20030901', '', 'Anak I', 'RS Harum', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14003, '70950204', '2003', '14003', '20030902', '20030901', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr D Djamal', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14004, '65920077', '2003', '14004', '20030902', '20030901', '', 'Pegawai', 'drg Maria', '811199', 565000, 565000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14005, '73031744', '2003', '14005', '20030902', '20030821', '', 'Pegawai', 'Klinik Al Fauza', '811199', 210000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14006, '60980529', '2003', '14006', '20030902', '20030901', 'Ani Novia', 'Anak I', 'RS Thamrin', '811199', 49000, 49000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14007, '71970456', '2003', '14007', '20030902', '20030822', '', 'Pegawai', 'RS Medistra', '811199', 400600, 400600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14008, '65010987', '2003', '14008', '20030902', '20030822', '', 'Anak I', 'Apotik Legenda', '811199', 203000, 203000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14009, '69000669', '2003', '14009', '20030902', '20030828', '', 'Anak I', 'RS Tria Dipa', '811199', 316900, 316900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14010, '66000735', '2003', '14010', '20030902', '20030826', 'Wizhayati', 'Isteri', 'dr Abdullah', '811199', 223100, 223100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14011, '73010858', '2003', '14011', '20030902', '20030831', '', 'Isteri', 'RS Mitra Int,I', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14012, '66970495', '2003', '14012', '20030902', '20030816', '', 'Anak I', 'dr Soeprapto', '811199', 141900, 141900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14013, '62042478', '2003', '14013', '20030902', '20030814', '', 'Anak I', 'dr Minamand B', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14014, '17601989', '2003', '14014', '20030902', '20030826', '', 'Pegawai', 'dr Syahril', '811199', 306600, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14015, '71980551', '2003', '14015', '20030902', '20030821', '', 'Pegawai', 'Ladokgi', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14016, '71980551', '2003', '14016', '20030902', '20030829', '', 'Pegawai', 'Ladokgi', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14017, '68920057', '2003', '14017', '20030902', '20030828', '', 'Isteri', 'RSPC', '811199', 679400, 679400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14018, '64980559', '2003', '14018', '20030902', '20030822', 'Virtiany Pradawani', 'Anak I', 'RS Patria', '811199', 345000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14019, '65960399', '2003', '14019', '20030902', '20030827', 'Mariam', 'Isteri', 'drg Hasmidar', '811199', 264200, 264200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14020, '75010905', '2003', '14020', '20030902', '20030827', '', 'Pegawai', 'Ladokgi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14021, '65920018', '2003', '14021', '20030902', '20030829', '', 'Pegawai', 'dr Himawan', '811199', 93500, 93500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14022, '63970464', '2003', '14022', '20030902', '20030831', '', 'Pegawai', 'dr Rahmawati', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14023, '51030006', '2003', '14023', '20030902', '20030829', '', 'Isteri', 'RS Cikini', '811199', 343000, 343000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14024, '70950370', '2003', '14024', '20030902', '20030827', '', 'Anak I', 'Apotik Titi Murti', '811199', 271500, 271500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14025, '73021134', '2003', '14025', '20030902', '20030829', '', 'Pegawai', 'RS Mitra Int''', '811199', 442800, 442800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14026, '57910014', '2003', '14026', '20030902', '20030829', 'Arief Rahman', 'Anak II', 'dr Pranoto', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14027, '65940151', '2003', '14027', '20030902', '20030826', '', 'Anak I', 'drg kamila', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14028, '67960411', '2003', '14028', '20030902', '20030828', 'Achmad Rizki Noversi', 'Anak I', 'dr Hj Umi', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14029, '76980517', '2003', '14029', '20030902', '20030831', '', 'Pegawai', 'RS Prima Husada', '811199', 256900, 256900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14030, '66920029', '2003', '14030', '20030905', '20030804', 'Putri Java Islami Yuntoharjo', 'Anak II', 'RS Int,l Bintaro', '811199', 153641, 153641, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14031, '66920029', '2003', '14031', '20030905', '20030902', 'Abyan Habib Yuntoharjo', 'Anak III', 'RS Int,l Bintaro', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14032, '61920045', '2003', '14032', '20030905', '20030903', '', 'Anak I', 'dr Tadjuddin', '811199', 326400, 326400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14033, '74000719', '2003', '14033', '20030825', '20030815', '', 'Pegawai', 'RS Bunda', '811199', 130700, 130700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14034, '69960396', '2003', '14034', '20030825', '20030819', '', 'Anak I', 'RS Puri Medika', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14035, '27501001', '2003', '14035', '20030825', '20030816', '', 'Anak I', 'Klinik Anggrek', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14036, '64000846', '2003', '14036', '20030825', '20030813', '', 'Anak I', 'drg Rahmat', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14037, '63950202', '2003', '14037', '20030825', '20030810', 'Habapusilah', 'Isteri', 'Bidan Talena', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14038, '67950213', '2003', '14038', '20030825', '20030819', 'Martadewi', 'Isteri', 'drg Silvy', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14039, '66920063', '2003', '14039', '20030731', '20030707', '', 'Pegawai', 'dr Toto', '811199', 242400, 242400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14040, '70000717', '2003', '14040', '20030828', '20030825', '', 'Pegawai', 'Apoteka Kimia Farma', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14041, '66010859', '2003', '14041', '20030828', '20030826', 'Anisya B.', 'Anak I', 'Dr.Arlin', '811199', 514785, 514785, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14042, '67920089', '2003', '14042', '20030828', '20030825', '', 'Pegawai', 'Dr. Sutoyo', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14043, '61920045', '2003', '14043', '20030828', '20030816', '', 'Anak I', 'RSIA T. Kembang', '811199', 74100, 74100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14044, '17300901', '2003', '14044', '20030828', '20030823', '', 'Isteri', 'RS Hermina', '811199', 367600, 367600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14045, '78031489', '2003', '14045', '20030828', '20030822', '', 'Pegawai', 'Dr. Fenny', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14046, '61970468', '2003', '14046', '20030828', '20030825', '', 'Pegawai', 'RS Harapan Kita', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14047, '65920018', '2003', '14047', '20030828', '20030827', 'Aslha', 'Anak III', 'dr Rachmat', '811199', 201200, 201200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14048, '71960403', '2003', '14048', '20030828', '20030813', '', 'Pegawai', 'drg Elisabeth', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14049, '69000692', '2003', '14049', '20030828', '20030819', 'Kartika', 'Anak II', 'dr Rachmat', '811199', 650000, 650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14050, '64000846', '2003', '14050', '20030828', '20030817', 'E. H Wahyuningsih', 'Isteri', 'RS St Carolus', '811199', 163500, 163500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14051, '70000684', '2003', '14051', '20030828', '20030813', '', 'Pegawai', 'dr Gatami', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14052, '68950371', '2003', '14052', '20030828', '20030816', 'Amarthya', 'Anak I', 'Prof Haryono', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14053, '64010984', '2003', '14053', '20030905', '20030819', '', 'Anak I', 'dr Bersama Satiti', '811199', 340100, 340100, NULL, NULL, 'A', 'medical')



INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14054, '72950364', '2003', '14054', '20030905', '20030816', '', 'Pegawai', 'RS OMC', '811199', 210150, 210150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14055, '64010984', '2003', '14055', '20030905', '20030809', '', 'Isteri', 'dr Irwin', '811199', 319900, 319900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14056, '65940151', '2003', '14056', '20030905', '20030901', '', 'Anak I', 'drg Adrian', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14057, '16801896', '2003', '14057', '20030905', '20030829', '', 'Anak I', 'dr Adnan S G', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14058, '59920056', '2003', '14058', '20030905', '20030902', 'Bachtiar Arifin', 'Anak I', 'RS Islam Jakarta', '811199', 218800, 218800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14059, '17101947', '2003', '14059', '20030905', '20030903', '', 'Pegawai', 'Aptk Melawai', '811199', 83200, 83200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14060, '74950356', '2003', '14060', '20030905', '20030903', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 436200, 396425, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14061, '68970466', '2003', '14061', '20030905', '20030902', '', 'Pegawai', 'dr Ivonne R', '811199', 304100, 304100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14062, '75021078', '2003', '14062', '20030905', '20030902', 'Natasya', 'Anak I', 'BKR MKGR', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14063, '75031490', '2003', '14063', '20030905', '20030901', '', 'Pegawai', 'dr I Made Wisnu', '811199', 172800, 172800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14064, '79021076', '2003', '14064', '20030905', '20030829', '', 'Pegawai', 'Pala Medika', '811199', 177800, 177800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14065, '75980569', '2003', '14065', '20030905', '20030825', '', 'Pegawai', 'dr Agus Gunawan', '811199', 187500, 187500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14066, '59021080', '2003', '14066', '20030905', '20030901', '', 'Isteri', 'Aptk Eva Medika', '811199', 92900, 92900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14067, '71950367', '2003', '14067', '20030905', '20030822', 'Sintong N. M.', 'Anak I', 'dr Alfred M S', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14068, '16801865', '2003', '14068', '20030905', '20030902', '', 'Anak I', 'dr Jenny Bashiruddin', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14069, '71011018', '2003', '14069', '20030905', '20030902', '', 'Isteri', 'dr Bambang', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14070, '73010870', '2003', '14070', '20030905', '20030901', '', 'Pegawai', 'dr Wirda', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14071, '66011023', '2003', '14071', '20030905', '20030828', '', 'Anak I', 'dr Mezel', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14072, '17501895', '2003', '14072', '20030905', '20030901', '', 'Anak I', 'Klinik Medika Sampurna', '811199', 228600, 228600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14073, '76960435', '2003', '14073', '20030905', '20030901', '', 'Pegawai', 'RS Pertamina', '811199', 90272, 90272, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14074, '72000701', '2003', '14074', '20030905', '20030831', 'Desi Mirdasari', 'Isteri', 'Aptk. Mandala', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14075, '71021430', '2003', '14075', '20030905', '20030831', '', 'Pegawai', 'Aptk. Kawi', '811199', 170100, 170100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14076, '71990647', '2003', '14076', '20030905', '20030825', '', 'Anak II', 'RS HR Kita', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14077, '17699665', '2003', '14077', '20030905', '20030829', '', 'Pegawai', 'RS Tria Dipa', '811199', 303000, 303000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14078, '65930143', '2003', '14078', '20030905', '20030821', '', 'Pegawai', 'RS Medistra', '811199', 249600, 249600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14079, '74990649', '2003', '14079', '20030905', '20030901', '', 'Pegawai', 'dr Yanuar', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14080, '17300761', '2003', '14080', '20030905', '20030820', '', 'Pegawai', 'dr wim Lambey', '811199', 287200, 287200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14081, '73000759', '2003', '14081', '20030905', '20030830', '', 'Pegawai', 'dr Erna', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14082, '17702001', '2003', '14082', '20030905', '20030828', '', 'Pegawai', 'Dns Kes AL', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14083, '17702001', '2003', '14083', '20030905', '20030901', '', 'Pegawai', 'JMC', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14084, '69950209', '2003', '14084', '20030905', '20030901', '', 'Pegawai', 'RS Mitra Intl', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14085, '72000794', '2003', '14085', '20030905', '20030829', '', 'Anak I', 'dr Abu', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14086, '72000794', '2003', '14086', '20030905', '20030929', '', 'Anak I', 'Kimia Farma', '811199', 53600, 53600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14087, '74990664', '2003', '14087', '20030905', '20030830', '', 'Pegawai', 'Gading Medical', '811199', 157000, 157000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14088, '66010859', '2003', '14088', '20030905', '20030901', 'Maulida A.', 'Anak II', 'Bhakti Asih', '811199', 52500, 52500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14089, '66010859', '2003', '14089', '20030905', '20030901', 'Maulida A.', 'Anak II', 'Aptk Bhakti A', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14090, '66920043', '2003', '14090', '20030905', '20030806', 'Fathonah', 'Isteri', 'RSB Duren 3', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14091, '70010882', '2003', '14091', '20030905', '20030901', '', 'Anak I', 'dr Zakiudin', '811199', 247600, 247600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14092, '51030006', '2003', '14092', '20030905', '20030901', 'Rayestu', 'Anak I', 'dr Indrajaya', '811199', 575000, 575000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14093, '76960435', '2003', '14093', '20030905', '20030903', 'Novi Z.', 'Isteri', 'drg Koesmanto', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14094, '71950212', '2003', '14094', '20030905', '20030903', '', 'Pegawai', 'drg Kusmanto', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14095, '69950222', '2003', '14095', '20030909', '20030905', '', 'Anak I', 'Apotik Cerme', '811199', 118500, 118500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14096, '79021425', '2003', '14096', '20030909', '20030902', '', 'Pegawai', 'RS Sbr Waras', '811199', 872000, 872000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14097, '72960390', '2003', '14097', '20030909', '20030903', '', 'Pegawai', 'dr Ina', '811199', 333000, 333000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14098, '43950002', '2003', '14098', '20030923', '20030825', '', 'Isteri', '', '811199', 1720000, 1720000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14099, '71960398', '2003', '14099', '20030912', '20030908', '', 'Anak I', 'RS Graha M', '811199', 593000, 351100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14100, '67920054', '2003', '14100', '20030912', '20030807', '', 'Anak II', 'RS Graha Medika', '811199', 182300, 182300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14101, '74021101', '2003', '14101', '20030912', '20030908', '', 'Isteri', 'dr Sutoyo P S', '811199', 202700, 202700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14102, '59920030', '2003', '14102', '20030912', '20030907', '', 'Pegawai', 'Rs Gandaria', '811199', 328400, 328400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14103, '76010936', '2003', '14103', '20030912', '20030906', '', 'Pegawai', 'Klinik JRC', '811199', 412000, 412000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14104, '79021172', '2003', '14104', '20030912', '20030906', '', 'Pegawai', 'RS Cengkareng', '811199', 152525, 152525, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14105, '65930147', '2003', '14105', '20030912', '20030908', '', 'Anak I', 'RS Harum', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14106, '71990647', '2003', '14106', '20030912', '20030912', '', 'Anak I', 'RS HR Kita', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14107, '66980545', '2003', '14107', '20030912', '20030901', '', 'Anak I', 'RS Tria Dipa', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14108, '63990637', '2003', '14108', '20030912', '20030909', '', 'Pegawai', 'RSUD Budhi', '811199', 692600, 692600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14109, '69960401', '2003', '14109', '20030912', '20030908', 'Rafiqi Luthfan', 'Anak I', 'Aptk Tunas Harapan', '811199', 119300, 119300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14110, '60930116', '2003', '14110', '20030912', '20030910', '', 'Pegawai', 'dr Dadang', '811199', 492900, 492900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14111, '66920106', '2003', '14111', '20030912', '20030903', 'Fitriani', 'Isteri', 'Bidan Nyi Elok', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14112, '73970495', '2003', '14112', '20030912', '20030904', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 382700, 382700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14113, '76960435', '2003', '14113', '20030912', '20030908', '', 'Isteri', 'dr Silayana S', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14114, '63950202', '2003', '14114', '20030912', '20030911', 'Habapusilah', 'Isteri', 'dr Fitriani', '811199', 386900, 386900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14115, '66990584', '2003', '14115', '20030912', '20030911', 'Andi Firyal', 'Anak II', 'RS Islam', '811199', 141500, 141500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14116, '65950169', '2003', '14116', '20030912', '20030807', '', 'Pegawai', 'Skin Center', '811199', 1261200, 298000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14117, '71950200', '2003', '14117', '20030912', '20030829', '', 'Pegawai', 'dr Pahry', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14118, '66930135', '2003', '14118', '20030912', '20030911', 'Irsyad Barran Lubis', 'Anak II', 'RS Pertamina', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14119, '69000669', '2003', '14119', '20030912', '20030828', '', 'Anak I', 'RS Tria Dipa', '811199', 106800, 106800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14120, '66010859', '2003', '14120', '20030912', '20030911', '', 'Pegawai', 'RS Inter,l Bintaro', '811199', 212000, 212000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14121, '51030006', '2003', '14121', '20030912', '20030909', '', 'Isteri', 'RS Cikini', '811199', 467000, 467000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14122, '60980529', '2003', '14122', '20030912', '20030908', '', 'Pegawai', 'RS Thamrin', '811199', 29000, 29000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14123, '65960416', '2003', '14123', '20030912', '20030910', '', 'Anak I', 'dr Jonathan E', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14124, '64970465', '2003', '14124', '20030912', '20030908', '', 'Pegawai', 'Klinik Dharma', '811199', 61000, 61000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14125, '58021106', '2003', '14125', '20030912', '20030827', 'Ica', 'Anak II', 'dr Widjoya,MPH', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14126, '75980563', '2003', '14126', '20030912', '20030909', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 384620, 384620, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14127, '69960382', '2003', '14127', '20030912', '20030906', 'Rizky Maulana Narendra Satria', 'Anak I', 'RS Int,l Bintaro', '811199', 320018, 320018, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14128, '68960388', '2003', '14128', '20030912', '20030711', 'Indriani', 'Isteri', 'dr Nugroho & aptk', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14129, '68920053', '2003', '14129', '20030912', '20030905', 'Syahida Nurrahmah', 'Anak II', 'dr Nancy', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14130, '67940157', '2003', '14130', '20030916', '20030903', '', 'Isteri', 'Eva Sari', '811199', 282919, 282919, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14131, '61950175', '2003', '14131', '20030916', '20030705', '', 'Pegawai', '', '811199', 94050, 94050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14132, '69021141', '2003', '14132', '20030923', '20030815', '', 'Anak I', '', '811199', 534100, 534100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14133, '66920064', '2003', '14133', '20030916', '20030727', '', 'Isteri', '', '811199', 12022, 12022, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14134, '68000752', '2003', '14134', '20030923', '20030717', 'Harits Sudarsono M', 'Anak I', '', '811199', 315020, 315020, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14135, '17601989', '2003', '14135', '20030916', '20030826', '', 'Pegawai', '', '811199', 1600, 1600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14136, '64980559', '2003', '14136', '20030923', '20030822', 'Virtiany Pradawani', 'Anak I', 'RS Patria', '811199', 1636000, 1636000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14137, '16900803', '2003', '14137', '20030923', '20030722', '', 'Isteri', '', '811199', 1050100, 1050100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14138, '74950356', '2003', '14138', '20030916', '20030903', 'Thifal N.', 'Anak II', '', '811199', 39775, 39775, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14139, '71960398', '2003', '14139', '20030916', '20030908', '', 'Anak I', 'RS Graha M', '811199', 241900, 241900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14140, '74021263', '2003', '14140', '20030923', '20030907', '', 'Anak I', '', '811199', 374234, 374234, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14141, '57990576', '2003', '14141', '20030916', '20030805', 'Shinta uspa Giartini', 'Anak II', '', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14142, '66950191', '2003', '14142', '20030916', '20030703', '', 'Pegawai', '', '811199', 139791, 139791, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14143, '67970469', '2003', '14143', '20030916', '20030806', '', 'Anak II', '', '811199', 31100, 31100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14144, '66970463', '2003', '14144', '20030916', '20030901', '', '', '', '811199', 53800, 53800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14145, '81042279', '2003', '14145', '20030916', '20030915', '', 'Pegawai', 'Aptk Gina', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14146, '75010905', '2003', '14146', '20030916', '20030912', '', 'Pegawai', 'drg Kusmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14147, '75010905', '2003', '14147', '20030916', '20030912', '', 'Pegawai', 'dr Untung', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14148, '67990636', '2003', '14148', '20030916', '20030810', 'Iqbal Aidina Arridho', 'Anak II', 'Klinik Citama', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14149, '67990636', '2003', '14149', '20030916', '20030814', 'Iqbal Aidina Arridho', 'Anak II', 'Kln Hadelisari', '811199', 74600, 74600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14150, '67990636', '2003', '14150', '20030916', '20030812', '', 'Pegawai', 'Kln Hadelisari', '811199', 45500, 45500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14151, '67990636', '2003', '14151', '20030916', '20030810', '', 'Pegawai', 'Klinik Citama', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14152, '57910014', '2003', '14152', '20030916', '20030913', 'Al Amin Syamshe Fajar', 'Anak III', 'dr Yacob', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14153, '60950189', '2003', '14153', '20030916', '20030912', 'Anita Karolina', 'Anak I', 'dr Rahayu', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14154, '77021068', '2003', '14154', '20030916', '20030912', '', 'Pegawai', 'RS medistra', '811199', 139300, 139300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14155, '65950169', '2003', '14155', '20030916', '20030911', '', 'Isteri', 'Skin Center', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14156, '65950169', '2003', '14156', '20030916', '20030911', '', 'Isteri', 'Skin Center', '811199', 153000, 153000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14157, '64950185', '2003', '14157', '20030916', '20030912', '', 'Pegawai', 'RS Puri Cinere', '811199', 833800, 833800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14158, '59920104', '2003', '14158', '20030916', '20030818', 'Diah Komalasari', 'Isteri', 'Medistra', '811199', 969600, 969600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14159, '73021134', '2003', '14159', '20030916', '20030912', '', 'Pegawai', 'RS Pelabuhan', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14160, '64930110', '2003', '14160', '20030916', '20030912', '', 'Isteri', 'RSIB', '811199', 294300, 294300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14161, '16801865', '2003', '14161', '20030916', '20030911', 'Amalia', 'Anak II', 'dr Etty', '811199', 27500, 27500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14162, '16801865', '2003', '14162', '20030916', '20030813', 'Amalia', 'Anak II', 'RS Cipto', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14163, '69021086', '2003', '14163', '20030916', '20030911', '', 'Anak I', 'RSIA Mary', '811199', 272600, 272600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14164, '64010984', '2003', '14164', '20030916', '20030913', '', 'Isteri', 'dr Irwin', '811199', 408500, 408500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14165, '70950199', '2003', '14165', '20030916', '20030910', '', 'Pegawai', 'dr Ina', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14166, '76010936', '2003', '14166', '20030916', '20030910', '', 'Pegawai', 'Kimia Farma', '811199', 108500, 108500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14167, '70930145', '2003', '14167', '20030916', '20030901', '', 'Pegawai', 'JMC', '811199', 685000, 685000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14168, '70930145', '2003', '14168', '20030916', '20030915', '', 'Pegawai', 'JMC', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14169, '77011017', '2003', '14169', '20030916', '20030915', '', 'Pegawai', 'JMC', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14170, '69021141', '2003', '14170', '20030916', '20030912', '', 'Isteri', 'dr Ellen', '811199', 201500, 201500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14171, '64000846', '2003', '14171', '20030916', '20030908', 'E. H Wahyuningsih', 'Isteri', 'RS Carolus', '811199', 185400, 185400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14172, '73000759', '2003', '14172', '20030916', '20030913', '', 'Pegawai', 'dr Hariyanti', '811199', 252000, 252000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14173, '66011023', '2003', '14173', '20030916', '20030907', '', 'Isteri', 'dr Yamin', '811199', 258800, 258800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14174, '76970457', '2003', '14174', '20030916', '20030910', '', 'Pegawai', 'dr Suaidi', '811199', 363600, 363600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14175, '72950205', '2003', '14175', '20030916', '20030915', 'Rizqullah Ishaq', 'Anak I', 'RS TK', '811199', 155100, 155100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14176, '69950222', '2003', '14176', '20030916', '20030915', '', 'Pegawai', 'Yurino', '811199', 243600, 243600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14177, '67970469', '2003', '14177', '20030916', '20030912', 'Suharti', 'Isteri', 'drg Gina', '811199', 425000, 425000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14178, '70970487', '2003', '14178', '20030916', '20030908', '', 'Pegawai', 'Century', '811199', 368800, 368800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14179, '69950162', '2003', '14179', '20030916', '20030913', 'Muhammad Nadhif Judhananto', 'Anak I', 'dr Maria', '811199', 189000, 189000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14180, '62920017', '2003', '14180', '20030916', '20030911', '', 'Anak I', 'dr Agung', '811199', 122000, 122000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14181, '70970480', '2003', '14181', '20030916', '20030918', '', 'Anak I', 'RS MMC', '811199', 661200, 483000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14182, '77031503', '2003', '14182', '20030916', '20030827', '', 'Pegawai', 'YPPRK', '811199', 134000, 134000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14183, '68960388', '2003', '14183', '20030916', '20030830', 'Indriani', 'Isteri', 'Medistra', '811199', 685600, 685600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14184, '51030006', '2003', '14184', '20030923', '20030915', '', 'Isteri', 'RSPGI Cikini', '811199', 379500, 379500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14185, '65960416', '2003', '14185', '20030923', '20030916', '', 'Anak I', 'dr Jonathan', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14186, '74000719', '2003', '14186', '20030923', '20030918', '', 'Pegawai', 'RSB YPK', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14187, '69960401', '2003', '14187', '20030923', '20030920', 'Rafiqi Luthfan', 'Anak I', 'dr Antoni', '811199', 513200, 513200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14188, '66920035', '2003', '14188', '20030923', '20030904', '', 'Pegawai', 'RS Pelni & RSIB', '811199', 1199535, 1199535, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14189, '62910008', '2003', '14189', '20030923', '20030913', 'Baldomero S. G.', 'Anak I', 'RSPI', '811199', 950148, 950148, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14190, '68000752', '2003', '14190', '20030923', '20030916', 'Sri Siswanti SH', 'Isteri', 'RSPC', '811199', 457120, 457120, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14191, '68950174', '2003', '14191', '20030923', '20030906', '', 'Anak I', 'dr Kris & ramita', '811199', 352800, 352800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14192, '75021126', '2003', '14192', '20030923', '20030916', '', 'Pegawai', 'dr Elvy', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14193, '70970487', '2003', '14193', '20030905', '20030828', '', 'Pegawai', 'dr Sugiman', '811199', 321800, 321800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14194, '75031490', '2003', '14194', '20030923', '20030917', '', 'Pegawai', 'drg Kusmanto', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14195, '69950222', '2003', '14195', '20030909', '20030827', '', 'Anak I', 'dr arwin', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14196, '58950188', '2003', '14196', '20030909', '20030908', '', 'Pegawai', 'RS Hrp Bunda', '811199', 427400, 427400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14197, '56950201', '2003', '14197', '20030909', '20030905', 'Dian Winarsih', 'Anak II', 'YKC  Depok', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14198, '59021080', '2003', '14198', '20030909', '20030906', '', 'Pegawai', 'Aptk Era Medika', '811199', 628500, 628500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14199, '69980544', '2003', '14199', '20030909', '20030901', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 79400, 79400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14200, '96080022', '2003', '14200', '20030909', '20030903', '', 'Pegawai', 'dr Heri', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14201, '78031514', '2003', '14201', '20030909', '20030707', '', 'Pegawai', 'dr Rita', '811199', 30000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14202, '78031514', '2003', '14202', '20030909', '20030715', '', 'Pegawai', 'apotik Rumkit', '811199', 198500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14203, '78031514', '2003', '14203', '20030909', '20030708', '', 'Pegawai', 'dr Rita', '811199', 60000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14204, '78031514', '2003', '14204', '20030909', '20030708', '', 'Pegawai', 'apotik Rumkit', '811199', 223000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14205, '78031514', '2003', '14205', '20030909', '20030828', '', 'Pegawai', 'dr Rosalinda', '811199', 478000, 478000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14206, '17702001', '2003', '14206', '20030909', '20030902', '', 'Pegawai', 'JMC', '811199', 68300, 68300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14207, '72000707', '2003', '14207', '20030909', '20030830', '', 'Anak I', 'dr Tjandra', '811199', 222000, 222000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14208, '60930108', '2003', '14208', '20030909', '20030830', 'Samara Sahrita Jahja', 'Isteri', 'Dental Art', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14209, '66990584', '2003', '14209', '20030909', '20030906', 'Andi Firyal', 'Anak II', 'RS Islam', '811199', 156500, 156500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14210, '66920067', '2003', '14210', '20030909', '20030825', 'Deny Waty Djaafar', 'Isteri', 'drg supriyadi', '811199', 375000, 375000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14211, '72950205', '2003', '14211', '20030909', '20030905', 'Rizqullah Ishaq', 'Anak I', 'RS Tumbuh Kembang', '811199', 46400, 46400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14212, '67940157', '2003', '14212', '20030909', '20030903', '', 'Isteri', 'RS Eva Sari', '811199', 851300, 568381, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14213, '77011035', '2003', '14213', '20030909', '20030902', '', 'Pegawai', 'dr Kuswara', '811199', 326150, 326150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14214, '79021425', '2003', '14214', '20030909', '20030826', '', 'Pegawai', 'RS Sbr Waras', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14215, '66920067', '2003', '14215', '20030923', '20030906', 'Deny Waty Djaafar', 'Isteri', 'RS Mitra', '811199', 936800, 936800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14216, '63970464', '2003', '14216', '20030923', '20030905', '', 'Pegawai', 'Lakespra', '811199', 210500, 210500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14217, '66920073', '2003', '14217', '20030923', '20030529', '', 'Anak I', 'RS Mary', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14218, '74000725', '2003', '14218', '20030923', '20030915', '', 'Pegawai', 'JMC', '811199', 610000, 610000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14219, '52030005', '2003', '14219', '20030923', '20030912', '', 'Anak I', 'dr Meity', '811199', 171200, 171200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14220, '17300901', '2003', '14220', '20030923', '20030905', '', 'Anak I', 'RS hermina', '811199', 103500, 103500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14221, '74000715', '2003', '14221', '20030923', '20030913', '', 'Pegawai', 'RS Mitra', '811199', 225900, 225900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14222, '67950193', '2003', '14222', '20030923', '20030903', 'Mohammad Hafiz Lintang Nugroho', 'Anak II', 'RS MMC', '811199', 181000, 181000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14223, '72000696', '2003', '14223', '20030923', '20030915', '', 'Anak I', 'RS Hermina', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14224, '57930113', '2003', '14224', '20030923', '20030916', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 660049, 660049, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14225, '78031489', '2003', '14225', '20030923', '20030915', '', 'Pegawai', 'drg Ratna', '811199', 343000, 343000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14226, '64980559', '2003', '14226', '20030923', '20030909', 'Malika Daeng Ratang', 'Isteri', 'RS Patria', '811199', 505000, 244000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14227, '77000678', '2003', '14227', '20030923', '20030826', '', 'Pegawai', 'dr Setiadi', '811199', 282650, 282650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14228, '60980529', '2003', '14228', '20030923', '20030916', 'Ani Novia', 'Anak I', 'RS Haji', '811199', 166600, 166600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14229, '69960396', '2003', '14229', '20030923', '20030916', '', 'Anak I', 'dr Dwi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14230, '77011017', '2003', '14230', '20030923', '20030917', '', 'Pegawai', 'JMC', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14231, '80031700', '2003', '14231', '20030923', '20030916', '', 'Pegawai', 'drg Tjandra', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14232, '74950356', '2003', '14232', '20030923', '20030916', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 407700, 407700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14233, '73000708', '2003', '14233', '20030923', '20030916', 'Rani Avianti', 'Isteri', 'RSPC', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14234, '79021425', '2003', '14234', '20030923', '20030916', '', 'Pegawai', 'RS Sbr Waras', '811199', 355000, 355000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14235, '75010905', '2003', '14235', '20030923', '20030917', '', 'Pegawai', 'Ladokgi', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14236, '75010905', '2003', '14236', '20030923', '20030915', '', 'Pegawai', 'drg kusmanto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14237, '76980517', '2003', '14237', '20030923', '20030904', 'Fathya A.W.', 'Anak I', 'RSPC', '811199', 187500, 187500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14238, '60910007', '2003', '14238', '20030923', '20030912', 'Reita Rakhma Andayani', 'Isteri', 'dr Euis', '811199', 810000, 810000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14239, '61970468', '2003', '14239', '20030923', '20030915', '', 'Pegawai', 'RSHK', '811199', 95500, 95500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14240, '61930128', '2003', '14240', '20030923', '20030709', 'R. Raditya M.L', 'Anak I', 'RSPI', '811199', 540543, 540543, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14241, '71960437', '2003', '14241', '20030923', '20030709', 'M. Farhan', 'Anak II', 'Bunda Auni II', '811199', 2005400, 1640000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14242, '65930147', '2003', '14242', '20030923', '20030922', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 523500, 523500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14243, '64930110', '2003', '14243', '20030923', '20030915', '', 'Pegawai', 'RSIB', '811199', 275406, 275406, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14244, '74950226', '2003', '14244', '20030923', '20030920', 'Sheza M. A.', 'Anak II', 'dr Tangek', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14245, '60970471', '2003', '14245', '20030923', '20030917', 'Mazaya Nauli', 'Anak I', 'RS Bunda', '811199', 393800, 393800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14246, '66990584', '2003', '14246', '20030923', '20030922', 'Andi Firyal', 'Anak II', 'RS cikini', '811199', 94800, 94800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14247, '79030001', '2003', '14247', '20030923', '20030918', '', 'Pegawai', 'Kamila Medika', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14248, '17300901', '2003', '14248', '20030923', '20030918', '', 'Isteri', 'RS Hermina', '811199', 245300, 245300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14249, '60920041', '2003', '14249', '20030923', '20030715', 'Dewi Handayani', 'Isteri', 'RS Mitra', '811199', 395500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14250, '60920041', '2003', '14250', '20030923', '20030918', 'Danapati Suprakasa', 'Anak III', 'RS Bunda', '811199', 573100, 573100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14251, '77021429', '2003', '14251', '20030923', '20030915', '', 'Pegawai', 'RS Medistra', '811199', 291700, 291700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14252, '60920075', '2003', '14252', '20030923', '20030911', '', 'Pegawai', 'dr Tadjudin', '811199', 974100, 974100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14253, '68920053', '2003', '14253', '20030923', '20030915', 'Hafizh Insan A', 'Anak I', 'drg Dewi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14254, '17300761', '2003', '14254', '20030923', '20030917', '', 'Pegawai', 'Dr Wim', '811199', 506000, 506000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14255, '68950341', '2003', '14255', '20030923', '20030918', '', 'Anak I', 'RSHK', '811199', 139000, 139000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14256, '62920044', '2003', '14256', '20030923', '20030917', '', 'Anak I', 'Klinik TK', '811199', 377000, 377000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14257, '75990657', '2003', '14257', '20030923', '20030714', '', 'Pegawai', 'RS Medistra', '811199', 990000, 920000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14258, '70930144', '2003', '14258', '20030923', '20030722', '', 'Pegawai', 'dr Sawitri', '811199', 1216170, 1216170, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14259, '70960393', '2003', '14259', '20030923', '20030915', '', 'Pegawai', 'dr Frans W.', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14260, '71940159', '2003', '14260', '20030923', '20030813', '', 'Pegawai', 'RS Medistra', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14261, '70920034', '2003', '14261', '20030923', '20030911', '', 'Pegawai', 'RS Mitra', '811199', 203600, 203600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14262, '71980551', '2003', '14262', '20030923', '20030910', '', 'Pegawai', 'Ladogi', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14263, '70010898', '2003', '14263', '20030923', '20030822', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14264, '59920104', '2003', '14264', '20030923', '20030908', 'Diah Komalasari', 'Isteri', 'RS Family', '811199', 762000, 762000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14265, '63000711', '2003', '14265', '20030923', '20030909', 'Haneti', 'Isteri', 'MMC', '811199', 1594400, 1594400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14266, '66920067', '2003', '14266', '20030923', '20030909', 'Deny Waty Djaafar', 'Isteri', 'RS Mitra', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14267, '68950221', '2003', '14267', '20030923', '20030914', 'Nurseha', 'Isteri', 'Tria Dipa', '811199', 174500, 174500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14268, '70950204', '2003', '14268', '20030923', '20030912', 'Rustini', 'Isteri', 'dr Djamal', '811199', 154475, 154475, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14269, '65920039', '2003', '14269', '20030923', '20030915', '', 'Pegawai', 'RSIB', '811199', 840758, 840758, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14270, '65950196', '2003', '14270', '20030923', '20030915', '', 'Pegawai', 'dr Martha', '811199', 63700, 63700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14271, '65010987', '2003', '14271', '20030923', '20030906', '', 'Anak I', 'dr Bagdadiji', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14272, '67950213', '2003', '14272', '20030923', '20030911', 'Martadewi', 'Isteri', 'drg Silvy', '811199', 187000, 187000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14273, '75980569', '2003', '14273', '20030923', '20030905', '', 'Pegawai', 'dr Agus', '811199', 597500, 461000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14274, '69940161', '2003', '14274', '20030923', '20030801', 'Ratnadya Thurfa', 'Anak I', 'dr Irwan', '811199', 309500, 279500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14275, '72099654', '2003', '14275', '20030923', '20030913', '', 'Isteri', 'dr Rudy Spog', '811199', 885900, 885900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14276, '68930133', '2003', '14276', '20030923', '20030917', '', 'Pegawai', 'dr Adityawrmn', '811199', 378000, 378000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14277, '81042279', '2003', '14277', '20030923', '20030921', '', 'Pegawai', 'JMC', '811199', 69300, 69300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14278, '17901973', '2003', '14278', '20030926', '20030916', '', 'Pegawai', 'RS Tria Dipa', '811199', 287300, 287300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14279, '76980517', '2003', '14279', '20030926', '20030924', 'Fathya A.W.', 'Anak I', 'Prima Husada', '811199', 134200, 134200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14280, '75021078', '2003', '14280', '20030926', '20030908', '', 'Pegawai', 'BKR MKGR', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14281, '66950191', '2003', '14281', '20030926', '20030924', '', 'Pegawai', 'Ladokgi', '811199', 517000, 517000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14282, '69950162', '2003', '14282', '20030926', '20030906', 'Sri Hardiastuti', 'Isteri', 'dr Bramundito', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14283, '76990604', '2003', '14283', '20030926', '20030828', '', 'Pegawai', 'dr Gunawan', '811199', 182200, 182200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14284, '73021081', '2003', '14284', '20030926', '20030916', '', 'Anak I', 'dr Tintin', '811199', 269800, 269800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14285, '70980570', '2003', '14285', '20030926', '20030919', '', 'Pegawai', 'RS Haji', '811199', 351900, 351900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14286, '70990648', '2003', '14286', '20030926', '20030919', 'Faizah Rahmah Izzatudini', 'Anak I', 'dr Benny', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14287, '68021214', '2003', '14287', '20030926', '20030918', '', 'Pegawai', 'Graha Medika', '811199', 259500, 259500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14288, '69950209', '2003', '14288', '20030926', '20030920', 'Neneng Lutvia', 'Isteri', 'RS Mitra Intl', '811199', 300500, 300500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14289, '68950371', '2003', '14289', '20030926', '20030919', 'Anggraini', 'Isteri', 'RS Medistra', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14290, '72950223', '2003', '14290', '20030923', '20030917', '', 'Anak I', 'dr As''at', '811199', 102500, 102500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14291, '16801865', '2003', '14291', '20030926', '20030920', 'Amalia', 'Anak II', 'RS Marry', '811199', 117100, 117100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14292, '65960399', '2003', '14292', '20030926', '20030918', '', 'Pegawai', 'dr Zubaeri', '811199', 221400, 221400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14293, '65000730', '2003', '14293', '20030926', '20030912', 'M. Fadhil S', 'Anak II', 'RS Borromeus', '811199', 532400, 532400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14294, '80042286', '2003', '14294', '20030926', '20030915', '', 'Pegawai', 'Pol. Umum', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14295, '70000684', '2003', '14295', '20030926', '20030904', 'Lutfi', 'Anak II', 'dr Gatami', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14296, '66010859', '2003', '14296', '20030926', '20030923', '', 'Pegawai', 'RSIB', '811199', 612979, 612979, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14297, '78042328', '2003', '14297', '20030926', '20030923', '', 'Pegawai', 'drg Robert', '811199', 357000, 357000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14298, '72031488', '2003', '14298', '20030926', '20030921', '', 'Pegawai', 'Aptk Century', '811199', 129200, 129200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14299, '59950195', '2003', '14299', '20030926', '20030914', '', 'Pegawai', 'RS Mitra', '811199', 947700, 947700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14300, '58021106', '2003', '14300', '20030926', '20030913', 'P. Bidadari', 'Isteri', 'dr Widjoyo', '811199', 150200, 150200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14301, '67980526', '2003', '14301', '20030926', '20030920', '', 'Pegawai', 'RS MMC', '811199', 641285, 641285, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14302, '69980544', '2003', '14302', '20030926', '20030923', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 261384, 261384, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14303, '71950367', '2003', '14303', '20030926', '20030915', 'Sintong N. M.', 'Anak I', 'RSPGI Cikini', '811199', 322000, 322000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14304, '67960411', '2003', '14304', '20030926', '20030922', '', 'Pegawai', 'dr Hj Umi', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14305, '53920027', '2003', '14305', '20030926', '20030925', '', 'Pegawai', 'RS Medistra', '811199', 160300, 160300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14306, '63920052', '2003', '14306', '20030926', '20030923', '', 'Pegawai', 'Medical Care', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14307, '73000708', '2003', '14307', '20030926', '20030920', 'Rani Avianti', 'Isteri', 'RSPC', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14308, '65980564', '2003', '14308', '20030926', '20030918', 'Neni Nuraeni', 'Isteri', 'dr Soedibyo', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14309, '68950221', '2003', '14309', '20030926', '20030824', 'Kevin Tria Nugroho', 'Anak I', 'dr Tjetjep', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14310, '61920045', '2003', '14310', '20030926', '20030920', 'Sutirma J.Rosalina', 'Isteri', 'dr Fachrudin', '811199', 477200, 477200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14311, '78031463', '2003', '14311', '20030926', '20030924', '', 'Pegawai', 'dr Jusbandi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14312, '60950189', '2003', '14312', '20030926', '20030923', '', 'Pegawai', 'RS Bumi Lest.', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14313, '77021138', '2003', '14313', '20030926', '20030916', '', 'Pegawai', 'dr Titi M', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14314, '68970466', '2003', '14314', '20030926', '20030920', '', 'Pegawai', 'dr Apifudin', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14315, '61970468', '2003', '14315', '20030926', '20030923', '', 'Pegawai', 'RS MMC', '811199', 220900, 220900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14316, '71950200', '2003', '14316', '20030926', '20030826', '', 'Anak I', 'RS Medistra', '811199', 889400, 889400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14317, '71980551', '2003', '14317', '20030926', '20030917', '', 'Pegawai', 'Ladogi', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14318, '62920050', '2003', '14318', '20030926', '20030920', 'M. Abrar Rafii', 'Anak II', 'dr Leopold', '811199', 359400, 359400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14319, '81042279', '2003', '14319', '20030926', '20030928', '', 'Pegawai', 'Aptk Gina..', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14320, '68960388', '2003', '14320', '20030930', '20030905', 'Indriani', 'Isteri', 'Medistra', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14321, '60950189', '2003', '14321', '20030930', '20030929', 'iis Elisabet', 'Isteri', 'RS Bumi Lest.', '811199', 280500, 280500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14322, '67970469', '2003', '14322', '20030930', '20030924', '', 'Pegawai', 'drg Gina', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14323, '73970451', '2003', '14323', '20030930', '20030925', '', 'Pegawai', 'dr Lusiana', '811199', 104700, 104700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14324, '61970468', '2003', '14324', '20030930', '20030929', '', 'Pegawai', 'RS Har. Kita', '811199', 85600, 85600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14325, '16801896', '2003', '14325', '20030930', '20030904', '', 'Anak I', 'dr Hanafi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14326, '76010936', '2003', '14326', '20030930', '20030918', '', 'Pegawai', 'Klinik JRC', '811199', 59200, 59200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14327, '72950205', '2003', '14327', '20030930', '20030926', 'Rizqullah Ishaq', 'Anak I', 'RSTK', '811199', 58900, 58900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14328, '68950221', '2003', '14328', '20030930', '20030827', '', 'Anak II', 'dr ellen', '811199', 167500, 167500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14329, '77011017', '2003', '14329', '20030930', '20030929', '', 'Pegawai', 'JMC', '811199', 247500, 247500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14330, '71980551', '2003', '14330', '20030930', '20030926', '', 'Pegawai', 'Ladogi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14331, '70990648', '2003', '14331', '20030930', '20030927', '', 'Pegawai', 'Aptk Jaka', '811199', 55100, 55100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14332, '51030006', '2003', '14332', '20030930', '20030923', '', 'Isteri', 'RSPGI Cikini', '811199', 629500, 629500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14333, '66950220', '2003', '14333', '20030930', '20030917', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14334, '72950363', '2003', '14334', '20030930', '20030821', '', 'Pegawai', 'Kuningan Med.', '811199', 348000, 348000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14335, '68920057', '2003', '14335', '20030930', '20030925', '', 'Isteri', 'RSPC', '811199', 505300, 505300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14336, '75980569', '2003', '14336', '20030930', '20030920', '', 'Pegawai', 'dr Antonius', '811199', 194000, 194000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14337, '61950175', '2003', '14337', '20030930', '20030926', '', 'Pegawai', 'RSCM', '811199', 451000, 451000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14338, '65920018', '2003', '14338', '20030930', '20030927', 'Aslha', 'Anak III', 'dr Rachmat', '811199', 186700, 186700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14339, '58950188', '2003', '14339', '20030930', '20030927', '', 'Pegawai', 'dr Anhar', '811199', 499800, 499800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14340, '82020001', '2003', '14340', '20030930', '20030928', '', 'Pegawai', 'Klinik Syarif H.', '811199', 391200, 391200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14341, '66990584', '2003', '14341', '20030930', '20030923', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14342, '69980544', '2003', '14342', '20030930', '20030925', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 134550, 134550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14343, '67960411', '2003', '14343', '20030930', '20030925', 'Endang Kuspringati S', 'Isteri', 'RS Bhineka', '811199', 133000, 133000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14344, '66950355', '2003', '14344', '20030930', '20030926', '', 'Pegawai', 'Sam Marrie', '811199', 3827000, 2142404, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14345, '69960401', '2003', '14345', '20031003', '20030930', 'Naufal Rizqulloh', 'Anak II', 'dr Irwanto', '811199', 630000, 630000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14346, '72000701', '2003', '14346', '20031003', '20030927', '', 'Pegawai', 'Family Dental', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14347, '68950174', '2003', '14347', '20031003', '20030924', '', 'Anak I', 'Hermina', '811199', 137520, 137520, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14348, '70950214', '2003', '14348', '20031003', '20030930', '', 'Anak I', 'drg Ine', '811199', 355400, 355400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14349, '64960402', '2003', '14349', '20031003', '20031001', '', 'Pegawai', 'RS AINI', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14350, '59920104', '2003', '14350', '20031003', '20031002', 'Diah Komalasari', 'Isteri', 'RS Medistra', '811199', 939900, 148400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14351, '56950201', '2003', '14351', '20031003', '20030926', 'Sudiangsih', 'Isteri', 'dr Yacob', '811199', 207600, 207600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14352, '17501895', '2003', '14352', '20031003', '20030910', '', 'Anak I', 'Medika', '811199', 73700, 73700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14353, '79021172', '2003', '14353', '20031003', '20030927', '', 'Anak I', 'RS CKRG', '811199', 177075, 177075, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14354, '76960435', '2003', '14354', '20031003', '20031002', '', 'Isteri', 'RS Siloam', '811199', 754500, 754500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14355, '66970463', '2003', '14355', '20031003', '20031002', '', 'Pegawai', 'RSAB HK', '811199', 222600, 222600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14356, '70970480', '2003', '14356', '20031003', '20031002', '', 'Anak I', 'dr Budhy', '811199', 122500, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14357, '74950356', '2003', '14357', '20031003', '20031001', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 127800, 127800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14358, '63990637', '2003', '14358', '20031003', '20031003', 'Aulia Rahman', 'Anak II', 'dr Bambang', '811199', 547000, 547000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14359, '65960348', '2003', '14359', '20031003', '20030827', '', 'Pegawai', 'RS MMC', '811199', 288900, 288900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14360, '63970478', '2003', '14360', '20031003', '20031001', '', 'Pegawai', 'drg Indrawati', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14361, '69970477', '2003', '14361', '20031003', '20030926', '', 'Anak I', 'Hermina', '811199', 367534, 367534, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14362, '69000669', '2003', '14362', '20031003', '20030930', '', 'Anak I', 'dr Sutarto', '811199', 242000, 242000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14363, '69000669', '2003', '14363', '20031003', '20030927', 'Anylita', 'Isteri', 'dr Kuswaji', '811199', 155900, 155900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14364, '70950204', '2003', '14364', '20031003', '20030926', 'Rustini', 'Isteri', 'dr Djamal', '811199', 118200, 118200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14365, '70920034', '2003', '14365', '20031003', '20030930', '', 'Pegawai', 'RS Mitra', '811199', 264300, 264300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14366, '63970464', '2003', '14366', '20031008', '20031003', '', 'Pegawai', 'Ladokgi', '811199', 370000, 370000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14367, '74021263', '2003', '14367', '20031003', '20030927', '', 'Anak I', 'dr Bambang', '811199', 266700, 266700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14368, '72099654', '2003', '14368', '20031003', '20030924', '', 'Isteri', 'Kedung Sari', '811199', 120800, 120800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14369, '72980510', '2003', '14369', '20031003', '20030925', '', 'Isteri', 'dr Kayanto', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14370, '72000707', '2003', '14370', '20031003', '20030930', '', 'Anak I', 'RSAB HK', '811199', 245900, 245900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14371, '65000730', '2003', '14371', '20031003', '20030929', 'Rini Mayasari S', 'Isteri', 'RS Boromeus', '811199', 246000, 246000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14372, '60970479', '2003', '14372', '20031003', '20031001', '', 'Pegawai', 'drg Silvy', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14373, '77042273', '2003', '14373', '20031003', '20030924', '', 'Pegawai', 'dr Indah', '811199', 87600, 87600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14374, '60960384', '2003', '14374', '20031003', '20030930', '', 'Anak II', 'dr Agus', '811199', 132975, 132975, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14375, '66010859', '2003', '14375', '20031003', '20030929', 'Maulida A.', 'Anak II', 'Bhkti Asih', '811199', 192500, 192500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14376, '71940159', '2003', '14376', '20031003', '20030930', '', 'Anak I', 'dr Mandoyani', '811199', 221100, 221100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14377, '61920069', '2003', '14377', '20031003', '20030929', 'Retno Murti Laila', 'Isteri', 'Gayam Sari', '811199', 351240, 351240, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14378, '70980570', '2003', '14378', '20031003', '20030927', 'Eer', 'Isteri', 'RS Har. Bunda', '811199', 147500, 147500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14379, '69950222', '2003', '14379', '20031003', '20030930', '', 'Anak I', 'RSCM', '811199', 134800, 134800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14380, '70010898', '2003', '14380', '20031003', '20030924', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 161500, 161500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14381, '78000693', '2003', '14381', '20031003', '20030926', '', 'Pegawai', 'Graha Kurnia', '811199', 770400, 770400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14382, '66920064', '2003', '14382', '20031003', '20030914', '', 'Pegawai', 'MekarSari', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14383, '78031701', '2003', '14383', '20031003', '20030930', '', 'Pegawai', 'dr Natahusada', '811199', 191300, 191300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14384, '66950191', '2003', '14384', '20031003', '20030930', '', 'Anak I', 'RSPI', '811199', 864139, 864139, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14385, '16801865', '2003', '14385', '20031003', '20030930', '', 'Anak I', 'dr Etty Mutmainah', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14386, '61930128', '2003', '14386', '20031003', '20030928', 'Indra Aristyanto', 'Anak II', 'Klinik Mitra Mekarsari', '811199', 102000, 102000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14387, '69950209', '2003', '14387', '20031003', '20030927', 'Neneng Lutvia', 'Isteri', 'Klinik Pramita', '811199', 877000, 877000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14388, '17702001', '2003', '14388', '20031003', '20030930', '', 'Pegawai', 'JMC', '811199', 126100, 126100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14389, '74990649', '2003', '14389', '20031003', '20030916', '', 'Pegawai', 'Klinik Artha Sari', '811199', 243000, 243000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14390, '70970487', '2003', '14390', '20031003', '20030924', '', 'Pegawai', 'dr Anita', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14391, '71950200', '2003', '14391', '20031003', '20030915', '', 'Pegawai', 'RS Medistra', '811199', 918000, 918000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14392, '74031476', '2003', '14392', '20031003', '20030924', '', 'Pegawai', 'RS MMC', '811199', 337200, 337200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14393, '71980551', '2003', '14393', '20031008', '20031003', '', 'Pegawai', 'Ladogi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14394, '67920089', '2003', '14394', '20031008', '20030927', '', 'Pegawai', 'dr Hasan', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14395, '60970471', '2003', '14395', '20031008', '20030929', 'Sylvina Faiza', 'Isteri', 'dr Andi Nawawi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14396, '70970475', '2003', '14396', '20031008', '20031004', '', 'Anak I', 'RS Hermina', '811199', 315300, 315300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14397, '27400906', '2003', '14397', '20031008', '20030929', '', 'Anak I', 'dr H Zainal', '811199', 153000, 153000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14398, '68950371', '2003', '14398', '20031008', '20030930', '', 'Anak II', 'RSB Asih', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14399, '69950209', '2003', '14399', '20031008', '20031004', 'Neneng Lutvia', 'Isteri', 'RS Mitra Keluarga', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14400, '58021106', '2003', '14400', '20031008', '20030929', 'P. Bidadari', 'Isteri', 'dr Puspitohadi', '811199', 296850, 296850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14401, '68000752', '2003', '14401', '20031008', '20031003', 'Sri Siswanti SH', 'Isteri', 'RSPI', '811199', 188620, 188620, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14402, '73010858', '2003', '14402', '20031008', '20030930', '', 'Anak I', 'dr Sumarmo', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14403, '72980515', '2003', '14403', '20031008', '20030929', '', 'Anak I', 'Aptk Simpang Depok', '811199', 108300, 108300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14404, '17601989', '2003', '14404', '20031008', '20030923', '', 'Pegawai', 'RB Alvernia', '811199', 261900, 261900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14405, '69950162', '2003', '14405', '20031008', '20031004', 'Sri Hardiastuti', 'Isteri', 'dr Bramundito', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14406, '75980569', '2003', '14406', '20031008', '20031003', '', 'Pegawai', 'dr Fauzi Jacob', '811199', 801300, 801300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14407, '66990584', '2003', '14407', '20031008', '20030930', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 104000, 104000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14408, '72950205', '2003', '14408', '20031008', '20031004', 'Rizqullah Ishaq', 'Anak I', 'Toko Obat Melati', '811199', 16500, 16500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14409, '60950189', '2003', '14409', '20031008', '20031003', 'Anita Karolina', 'Anak I', 'dr Boyke', '811199', 773937, 773937, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14410, '70000791', '2003', '14410', '20031008', '20031001', 'M. Khalif F.', 'Anak I', 'dr Ismail', '811199', 482400, 482400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14411, '64930110', '2003', '14411', '20031008', '20031002', '', 'Isteri', 'RSIB', '811199', 250314, 250314, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14412, '70950204', '2003', '14412', '20031008', '20031004', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 104200, 104200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14413, '57920024', '2003', '14413', '20031008', '20030925', '', 'Isteri', 'RS Mitra', '811199', 67000, 67000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14414, '77042273', '2003', '14414', '20031008', '20031004', '', 'Pegawai', 'RS Tugu Ibu', '811199', 560000, 560000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14415, '69960382', '2003', '14415', '20031008', '20031002', '', 'Pegawai', 'Klinik Panji Husada', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14416, '66920029', '2003', '14416', '20031008', '20030929', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 1240000, 1240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14417, '68920053', '2003', '14417', '20031008', '20031006', '', 'Anak III', 'dr Doso', '811199', 150500, 150500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14418, '66920026', '2003', '14418', '20031008', '20031004', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 135529, 135529, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14419, '65950169', '2003', '14419', '20031008', '20030823', '', 'Pegawai', 'drg Aryanto', '811199', 950000, 950000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14420, '69021086', '2003', '14420', '20031008', '20031001', 'Abyan', 'Anak II', 'RSIA Mary', '811199', 211400, 211400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14421, '62920044', '2003', '14421', '20031008', '20290903', 'Silvia', 'Anak I', 'Klinik TK', '811199', 444600, 444600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14422, '64970465', '2003', '14422', '20031008', '20031007', '', 'Pegawai', 'JMC', '811199', 141800, 141800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14423, '60970479', '2003', '14423', '20031008', '20030929', '', 'Pegawai', 'Aptk Masnaga', '811199', 425800, 425800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14424, '67980526', '2003', '14424', '20031008', '20030920', 'Elfitra Desy Surya', 'Isteri', 'RS MMC', '811199', 1266700, 1266700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14425, '74021101', '2003', '14425', '20031008', '20030929', '', 'Isteri', 'dr M Paula', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14426, '63950202', '2003', '14426', '20031008', '20030914', '', 'Anak II', 'Klinik Bukit Cirendeu', '811199', 47000, 47000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14427, '64000846', '2003', '14427', '20031008', '20030930', '', 'Anak I', 'dr S R Endang', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14428, '17201001', '2003', '14428', '20031008', '20031001', '', 'Isteri', 'RS Tria Dipa', '811199', 161500, 161500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14429, '71950367', '2003', '14429', '20031008', '20031003', 'Sintong N. M.', 'Anak I', 'dr Alfred', '811199', 161800, 161800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14430, '60910007', '2003', '14430', '20031008', '20031006', 'Fadya Noor Shebica', 'Anak III', 'dr Erda', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14431, '68960388', '2003', '14431', '20031008', '20031003', 'Indriani', 'Isteri', 'dr Nugroho', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14432, '62920044', '2003', '14432', '20031008', '20031007', '', 'Isteri', 'RS Medistra', '811199', 265500, 265500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14433, '75021078', '2003', '14433', '20031008', '20030930', 'Yulia N.', 'Isteri', 'Aptk Kartini', '811199', 128200, 128200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14434, '65960379', '2003', '14434', '20031008', '20031003', 'Muhammad Kemal Ramadhan', 'Anak I', 'dr Taralan T', '811199', 99000, 99000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14435, '71950212', '2003', '14435', '20031008', '20031002', '', 'Pegawai', 'dr Bambang', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14436, '65960399', '2003', '14436', '20031008', '20031001', '', 'Anak I', 'RS Hermina', '811199', 410450, 410450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14437, '75010905', '2003', '14437', '20031008', '20030914', '', 'Pegawai', 'dr Untung P.S', '811199', 212000, 212000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14438, '69970477', '2003', '14438', '20031008', '20031001', '', 'Anak I', 'RS Mary', '811199', 86700, 86700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14439, '76031518', '2003', '14439', '20031008', '20031004', '', 'Pegawai', 'dr Khairina', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14440, '59920056', '2003', '14440', '20031008', '20031004', 'Mifta Zanaria', 'Anak II', 'RS Aini', '811199', 148100, 148100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14441, '62910008', '2003', '14441', '20031008', '20031006', 'Naufal', 'Anak II', 'RSPI', '811199', 808000, 808000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14442, '71970456', '2003', '14442', '20031008', '20031003', '', 'Pegawai', 'RS Medistra', '811199', 439800, 439800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14443, '70930145', '2003', '14443', '20031008', '20030924', '', 'Pegawai', 'JMC', '811199', 492500, 492500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14444, '69950209', '2003', '14444', '20031008', '20031007', 'Neneng Lutvia', 'Isteri', 'JMC', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14445, '69980544', '2003', '14445', '20031008', '20031002', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 91400, 91400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14446, '50950207', '2003', '14446', '20031014', '20031008', 'Sapariyah', 'Isteri', 'RS Bhakti Yudha', '811199', 579500, 579500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14447, '78031437', '2003', '14447', '20031014', '20031013', '', 'Pegawai', 'Apotik RS Puri Cinere', '811199', 467000, 317000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14448, '73000759', '2003', '14448', '20031014', '20031009', '', 'Pegawai', 'dr Erna Purnamasari', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14449, '68000760', '2003', '14449', '20031014', '20031013', 'Nurul Hidayati', 'Isteri', 'Bidan Isniyati', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14450, '17300761', '2003', '14450', '20031014', '20031012', '', 'Pegawai', 'drg Sutoyo', '811199', 453200, 453200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14451, '75980563', '2003', '14451', '20031014', '20031002', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 206340, 206340, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14452, '72000707', '2003', '14452', '20031014', '20031010', '', 'Anak I', 'dr Ari', '811199', 216300, 216300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14453, '66000735', '2003', '14453', '20031014', '20031001', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 155500, 155500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14454, '68950371', '2003', '14454', '20031014', '20031006', '', 'Pegawai', 'RS Medistra', '811199', 385200, 385200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14455, '65960416', '2003', '14455', '20031014', '20031013', '', 'Pegawai', 'Klinik Medika', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14456, '66920067', '2003', '14456', '20031014', '20031010', 'Deny Waty Djaafar', 'Isteri', 'Apotik Damai', '811199', 561000, 561000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14457, '74970450', '2003', '14457', '20031014', '20030930', '', 'Pegawai', 'RSIA Hermina', '811199', 1138900, 920000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14458, '17101947', '2003', '14458', '20031014', '20031010', '', 'Pegawai', 'Aptk Melawai', '811199', 294950, 294950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14459, '68920053', '2003', '14459', '20031014', '20031013', '', 'Anak III', 'dr Nancy', '811199', 182250, 182250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14460, '72980510', '2003', '14460', '20031014', '20031009', '', 'Isteri', 'dr Kayanto', '811199', 102900, 102900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14461, '52030005', '2003', '14461', '20031014', '20031015', '', 'Anak I', 'dr Jenly', '811199', 134700, 134700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14462, '74031476', '2003', '14462', '20031014', '20031008', '', 'Pegawai', 'Jkt Medical Center', '811199', 145500, 145500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14463, '73010858', '2003', '14463', '20031014', '20031007', '', 'Isteri', 'RS Mitra Int''l', '811199', 142200, 142200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14464, '71930148', '2003', '14464', '20031014', '20031008', '', 'Pegawai', 'Klinik Dharma Bhakti 02', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14465, '17501895', '2003', '14465', '20031014', '20031009', '', 'Pegawai', 'Klinik Medika Sampurna', '811199', 348200, 348200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14466, '71950200', '2003', '14466', '20031014', '20031008', '', 'Anak I', 'RS Medistra', '811199', 88100, 88100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14467, '58950188', '2003', '14467', '20031014', '20031011', 'Komerahyatun', 'Isteri', 'dr Agung', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14468, '65980552', '2003', '14468', '20031014', '20030929', 'Faiz Afif', 'Anak II', 'dr Marsubrin', '811199', 238000, 238000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14469, '57910014', '2003', '14469', '20031014', '20031012', 'Arief Rahman', 'Anak II', 'dr Yacob', '811199', 148000, 148000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14470, '60920075', '2003', '14470', '20031014', '20031011', '', 'Pegawai', 'dr Rini Teguh', '811199', 1100700, 1100700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14471, '75021126', '2003', '14471', '20031014', '20031010', '', 'Pegawai', 'RS Sumber Waras', '811199', 64500, 64500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14472, '76010936', '2003', '14472', '20031014', '20031012', '', 'Pegawai', 'RS Holistic', '811199', 832500, 832500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14473, '69970477', '2003', '14473', '20031014', '20031009', '', 'Pegawai', 'Klinik LPM', '811199', 73500, 73500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14474, '16801865', '2003', '14474', '20031014', '20031008', '', 'Anak I', 'dr Ety Mutmainah', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14475, '66990584', '2003', '14475', '20031014', '20031006', 'Andi Maysita Areshaska', 'Anak I', 'RS Islam Jakut', '811199', 62500, 62500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14476, '78031489', '2003', '14476', '20031014', '20031007', '', 'Pegawai', 'Aptk Sahabat', '811199', 87000, 87000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14477, '65960408', '2003', '14477', '20031014', '20031012', '', 'Pegawai', 'dr Meri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14478, '66930135', '2003', '14478', '20031014', '20031013', 'Irsyad Barran Lubis', 'Anak II', 'RS Pertamina', '811199', 480298, 480298, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14479, '60950353', '2003', '14479', '20031014', '20030908', '', 'Anak I', 'RSIB', '811199', 70000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14480, '51030006', '2003', '14480', '20031014', '20030930', '', 'Isteri', 'RSPGI Cikini', '811199', 777900, 777900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14481, '71980540', '2003', '14481', '20031014', '20030924', 'Indah Kusharyanti', 'Isteri', 'RS MMC', '811199', 1283000, 1283000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14482, '74000719', '2003', '14482', '20031014', '20031008', '', 'Pegawai', 'RS Bunda', '811199', 281200, 281200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14483, '73021088', '2003', '14483', '20031014', '20031008', '', 'Anak I', 'dr Rahma', '811199', 103100, 103100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14484, '63970464', '2003', '14484', '20031014', '20031004', '', 'Pegawai', 'dr Kamsir', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14485, '76010936', '2003', '14485', '20031014', '20031004', '', 'Pegawai', 'Aptk Korpri', '811199', 58500, 58500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14486, '67950168', '2003', '14486', '20031014', '20031005', '', 'Pegawai', 'RS Pertamina', '811199', 2629700, 2542000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14487, '72000696', '2003', '14487', '20031014', '20031008', '', 'Anak I', 'RSIA Hermina', '811199', 189320, 189320, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14488, '70970487', '2003', '14488', '20031014', '20030930', '', 'Pegawai', 'dr Susiman', '811199', 502800, 502800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14489, '71950367', '2003', '14489', '20031014', '20031011', '', 'Pegawai', 'RS THT Proklamasi', '811199', 455000, 455000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14490, '63970476', '2003', '14490', '20031014', '20031001', '', 'Pegawai', 'drg Abdulah', '811199', 465000, 465000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14491, '60950353', '2003', '14491', '20031014', '20031006', '', 'Anak I', 'RSIB', '811199', 645901, 645901, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14492, '64010984', '2003', '14492', '20031014', '20031004', '', 'Isteri', 'dr Irwin', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14493, '64010984', '2003', '14493', '20031014', '20030929', '', 'Isteri', 'dr Irwin', '811199', 142500, 142500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14494, '65010987', '2003', '14494', '20031014', '20031006', '', 'Isteri', 'dr Abdullah', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14495, '75980569', '2003', '14495', '20031014', '20031007', '', 'Pegawai', 'dr Wahyu', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14496, '77021429', '2003', '14496', '20031014', '20031007', '', 'Isteri', 'RS Tebet', '811199', 251100, 251100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14497, '77000672', '2003', '14497', '20031014', '20031002', '', 'Pegawai', 'dr Untung', '811199', 496700, 496700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14498, '66970473', '2003', '14498', '20031014', '20031008', '', 'Anak I', 'RS Gandaria', '811199', 263500, 263500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14499, '66920026', '2003', '14499', '20031014', '20031007', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 148645, 148645, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14500, '72950364', '2003', '14500', '20031014', '20030918', '', 'Pegawai', 'RS YPK', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 14501 - 15000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14501, '69950162', '2003', '14501', '20031014', '20031009', '', 'Anak II', 'dr Maria', '811199', 137500, 137500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14502, '60930116', '2003', '14502', '20031014', '20030925', '', 'Anak I', 'dr H Dadang', '811199', 1880100, 1880100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14503, '68930133', '2003', '14503', '20031014', '20031001', '', 'Pegawai', 'dr Tjut N', '811199', 441000, 441000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14504, '54099650', '2003', '14504', '20031020', '20031009', 'Aisyah Q.Turjanah', 'Isteri', 'drg Gatot', '811199', 484000, 442000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14505, '73021134', '2003', '14505', '20031020', '20031011', '', 'Pegawai', 'ENT Centre', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14506, '72000701', '2003', '14506', '20031020', '20031011', '', 'Pegawai', 'Family Dental', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14507, '69950222', '2003', '14507', '20031020', '20030919', '', 'Anak I', 'dr Sofyan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14508, '72950205', '2003', '14508', '20031020', '20031014', 'Rizqullah Ishaq', 'Anak I', 'RS TK', '811199', 206600, 206600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14509, '65920039', '2003', '14509', '20031020', '20031013', '', 'Anak I', 'dr Herman', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14510, '67950203', '2003', '14510', '20031020', '20031012', 'Yuli Sumirah', 'Isteri', 'Klinik Prima', '811199', 178500, 178500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14511, '66920064', '2003', '14511', '20031020', '20031014', 'Eryanto D', 'Anak II', 'dr Rini T', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14512, '64930110', '2003', '14512', '20031020', '20031009', '', 'Isteri', 'ENT Centre', '811199', 199300, 199300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14513, '64970465', '2003', '14513', '20031020', '20031014', '', 'Pegawai', 'JMC', '811199', 162900, 162900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14514, '63910010', '2003', '14514', '20031020', '20031013', 'Muhammad Nabil Abdullah Nasution', 'Anak I', 'dr Ningrum', '811199', 293400, 293400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14515, '63950202', '2003', '14515', '20031020', '20031013', 'Habapusilah', 'Isteri', 'Klinik Bukit Cirendeu', '811199', 96000, 96000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14516, '62920050', '2003', '14516', '20031020', '20031007', 'Teti Auliya A', 'Isteri', 'dr Theresia', '811199', 452500, 452500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14517, '68950174', '2003', '14517', '20031020', '20030930', '', 'Anak I', 'dr Sutarti', '811199', 685000, 685000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14518, '66950191', '2003', '14518', '20031020', '20031014', 'Andriana', 'Isteri', 'Ladokgi', '811199', 130000, 119070, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14519, '65960379', '2003', '14519', '20031020', '20031011', 'Muhammad Kemal Ramadhan', 'Anak I', 'RS Hermina', '811199', 52936, 52936, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14520, '68940160', '2003', '14520', '20031020', '20031006', '', 'Pegawai', 'dr Retno', '811199', 351200, 351200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14521, '65930143', '2003', '14521', '20031020', '20031007', 'Meity Andrina', 'Isteri', 'RS Pertamina', '811199', 773000, 773000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14522, '72021108', '2003', '14522', '20031020', '20031008', '', 'Anak I', 'dr Bachrudin', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14523, '70000791', '2003', '14523', '20031020', '20031014', 'Safarina', 'Isteri', 'dr Setyo', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14524, '70960409', '2003', '14524', '20031020', '20031012', '', 'Pegawai', 'RS Cipta Husada', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14525, '70010898', '2003', '14525', '20031020', '20031002', '', 'Isteri', 'dr Yusmar', '811199', 267500, 267500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14526, '68930133', '2003', '14526', '20031020', '20031015', '', 'Pegawai', 'RSCM', '811199', 452400, 148900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14527, '75000720', '2003', '14527', '20031020', '20031011', '', 'Pegawai', 'RS Puri Cinere', '811199', 591500, 591500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14528, '67990636', '2003', '14528', '20031020', '20031017', 'Iqbal Aidina Arridho', 'Anak II', 'Klinik Hadeli', '811199', 162000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14529, '61930128', '2003', '14529', NULL, '20031020', 'A. Retno M', 'Isteri', 'dr Karno', '811199', 332900, 332900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14530, '73000708', '2003', '14530', '20031020', '20031011', '', 'Anak I', 'RSPC', '811199', 702400, 702400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14531, '77021138', '2003', '14531', '20031020', '20031014', '', 'Pegawai', 'dr Titi M', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14532, '66980545', '2003', '14532', '20031020', '20031015', '', 'Pegawai', 'drg Firman', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14533, '96080022', '2003', '14533', '20031020', '20031012', '', 'Pegawai', 'drg Susi', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14534, '70950204', '2003', '14534', '20031020', '20031010', 'Rustini', 'Isteri', 'dr D Djamal', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14535, '68950221', '2003', '14535', '20031020', '20031013', '', 'Pegawai', 'drg Sri Suliswati', '811199', 157500, 157500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14536, '73021143', '2003', '14536', '20031020', '20031003', '', 'Isteri', 'Balai Penbatan Bhakti Pertiwi', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14537, '72099654', '2003', '14537', '20031020', '20031007', '', 'Isteri', 'Aptk Nusantara', '811199', 82750, 82750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14538, '74990578', '2003', '14538', '20031020', '20031015', '', 'Pegawai', 'RS Siaga Raya', '811199', 225650, 225650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14539, '80021417', '2003', '14539', '20031020', '20031015', '', 'Pegawai', 'Yay.Kanker Indonesia', '811199', 193300, 193300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14540, '79010904', '2003', '14540', '20031020', '20031015', '', 'Pegawai', 'Yay Kanker Indonesia', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14541, '73960391', '2003', '14541', '20031020', '20030917', 'Reynard', 'Anak I', 'RS Hermina', '811199', 112374, 112374, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14542, '65021085', '2003', '14542', '20031020', '20031015', '', 'Pegawai', 'dr Radwin S', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14543, '64920046', '2003', '14543', '20031020', '20031013', 'Aisyah Aprilea', 'Anak II', 'drg Tri W', '811199', 199000, 199000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14544, '63990637', '2003', '14544', '20031020', '20031016', 'Abdul Hadi', 'Anak III', 'Klinik Sejahtera', '811199', 304500, 304500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14545, '63910010', '2003', '14545', '20031020', '20031015', 'Muhammad Nabil Abdullah Nasution', 'Anak I', 'dr Catur', '811199', 214500, 214500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14546, '75031490', '2003', '14546', '20031023', '20030926', '', 'Pegawai', 'dr Nugroho', '811199', 308800, 308800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14547, '73970451', '2003', '14547', '20031023', '20031016', '', 'Pegawai', 'dr Lusiana', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14548, '68950221', '2003', '14548', '20031023', '20031016', 'Kevin Tria Nugroho', 'Anak I', 'RS Tria Dipa', '811199', 238500, 238500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14549, '76960435', '2003', '14549', '20031023', '20031018', '', 'Isteri', 'Klinik Marnda', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14550, '69970477', '2003', '14550', '20031023', '20031018', '', 'Anak I', 'dr Syarif R', '811199', 90500, 90500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14551, '74011037', '2003', '14551', '20031023', '20031022', '', 'Pegawai', 'dr H Ramly', '811199', 211500, 211500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14552, '68021214', '2003', '14552', '20031023', '20031020', '', 'Pegawai', 'Graha Medika', '811199', 287500, 287500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14553, '68920053', '2003', '14553', '20031023', '20031015', 'Hafizh Insan A', 'Anak I', 'Klinik Medika', '811199', 72000, 72000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14554, '70950214', '2003', '14554', '20031023', '20031014', '', 'Anak I', 'dr Dawam', '811199', 109900, 109900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14555, '72021050', '2003', '14555', '20031023', '20031018', '', 'Isteri', 'RS Ps Rebo', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14556, '68000760', '2003', '14556', '20031023', '20031013', 'Athifah Hanani', 'Anak II', 'dr Retno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14557, '75980563', '2003', '14557', '20031023', '20031017', '', 'Pegawai', 'drg Winawati', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14558, '68000709', '2003', '14558', '20031023', '20031013', '', 'Pegawai', 'Hadeli Sari', '811199', 141000, 141000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14559, '67920054', '2003', '14559', '20031023', '20031019', 'Tamam Ibrahim Satrio', 'Anak I', 'Graha Medika', '811199', 518100, 518100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14560, '70010898', '2003', '14560', '20031023', '20031008', '', 'Isteri', 'RSIA Marry', '811199', 303400, 303400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14561, '69960401', '2003', '14561', '20031023', '20031017', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul', '811199', 281400, 281400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14562, '61950175', '2003', '14562', '20031023', '20031011', 'Sri Wahyuni', 'Isteri', 'drg Chyntiawati', '811199', 317700, 317700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14563, '63970478', '2003', '14563', '20031023', '20031011', '', 'Pegawai', 'Apotik Kawi', '811199', 311000, 311000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14564, '74000719', '2003', '14564', '20031023', '20031017', '', 'Pegawai', 'RS Bunda', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14565, '16801865', '2003', '14565', '20031023', '20031015', 'Amalia', 'Anak II', 'dr Etty', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14566, '63970483', '2003', '14566', '20031023', '20031018', 'Eli', 'Isteri', 'Apotik Dian', '811199', 1253500, 1253500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14567, '74000702', '2003', '14567', '20031023', '20031016', '', 'Pegawai', 'RS MMC', '811199', 417300, 417300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14568, '64930120', '2003', '14568', '20031023', '20031017', '', 'Pegawai', 'RSPI', '811199', 310503, 310503, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14569, '67980526', '2003', '14569', '20031023', '20031004', '', 'Pegawai', 'RS MMC', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14570, '68000752', '2003', '14570', '20031023', '20031017', 'Sri Siswanti SH', 'Isteri', 'RSPI', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14571, '69960396', '2003', '14571', '20031023', '20031014', '', 'Anak I', 'Bidan Dwi Retno', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14572, '69960413', '2003', '14572', '20031023', '20031014', '', 'Pegawai', 'dr Yustin', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14573, '70000806', '2003', '14573', '20031023', '20031018', '', 'Pegawai', 'dr Gayanti', '811199', 227500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14574, '58021106', '2003', '14574', '20031023', '20031018', 'Ica', 'Anak II', 'dr Eko Yulianto', '811199', 130500, 130500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14575, '73010858', '2003', '14575', '20031023', '20031014', '', 'Anak I', 'RS Mitra Int''l', '811199', 168000, 168000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14576, '69000669', '2003', '14576', '20031023', '20031011', 'Anylita', 'Isteri', 'dr Kuswaji', '811199', 145900, 145900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14577, '72950364', '2003', '14577', '20031023', '20031018', '', 'Pegawai', 'RS OMC', '811199', 357800, 357800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14578, '63990637', '2003', '14578', '20031023', '20031009', '', 'Pegawai', 'dr Marjuki', '811199', 133500, 133500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14579, '70950204', '2003', '14579', '20031023', '20031020', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 126500, 126500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14580, '76980527', '2003', '14580', '20031023', '20031017', '', 'Pegawai', 'Multi Farma', '811199', 92500, 92500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14581, '67950213', '2003', '14581', '20031023', '20030918', '', 'Anak I', 'dr Sri', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14582, '53920027', '2003', '14582', '20031023', '20031020', '', 'Anak I', 'drg Linda', '811199', 107625, 107625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14583, '75980569', '2003', '14583', '20031023', '20031020', '', 'Pegawai', 'dr Budi', '811199', 284700, 284700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14584, '66920067', '2003', '14584', '20031023', '20031018', 'Deny Waty Djaafar', 'Isteri', 'dr Jefitra', '811199', 775000, 767700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14585, '62042478', '2003', '14585', '20031023', '20031018', '', 'Anak I', 'dr Minamand', '811199', 94500, 94500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14586, '66950220', '2003', '14586', '20031023', '20001017', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14587, '70950199', '2003', '14587', '20031023', '20031021', '', 'Pegawai', 'dr Ina', '811199', 568000, 568000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14588, '72000696', '2003', '14588', '20031023', '20031020', '', 'Anak I', 'RSIA Hermina', '811199', 123500, 123500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14589, '51980512', '2003', '14589', '20031023', '20031008', 'Wahdessy Dwi Afini', 'Anak II', 'dr Fransisca', '811199', 1421100, 1421100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14590, '57980555', '2003', '14590', '20031023', '20031017', '', 'Pegawai', 'RS Medistra', '811199', 259300, 259300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14591, '57980555', '2003', '14591', '20031023', '20031021', '', 'Pegawai', 'RS Medistra', '811199', 692900, 692900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14592, '61970468', '2003', '14592', '20031023', '20031020', '', 'Pegawai', 'Poliklinik Harapan Kita', '811199', 284200, 284200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14593, '65950169', '2003', '14593', '20031023', '20031016', '', 'Isteri', 'dr Dian', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14594, '66920026', '2003', '14594', '20031023', '20031014', '', 'Pegawai', 'dr Moerdiarto', '811199', 335700, 335700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14595, '67950193', '2003', '14595', '20031023', '20031020', '', 'Pegawai', 'Klinik Buncit Raya', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14596, '51030006', '2003', '14596', '20031023', '20031017', '', 'Anak I', 'dr Haryanto', '811199', 447500, 447500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14597, '66930135', '2003', '14597', '20031023', '20031020', 'Irsyad Barran Lubis', 'Anak II', 'RS Medika', '811199', 338400, 338400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14598, '66930135', '2003', '14598', '20031023', '20030823', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 341000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14599, '78031437', '2003', '14599', '20031023', '20031021', '', 'Pegawai', 'Apotik RS Puri Cinere', '811199', 621300, 621300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14600, '65000730', '2003', '14600', '20031023', '20031016', 'M.Fakhri S', 'Anak I', 'Apotik Padjadjaran', '811199', 222500, 222500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14601, '59950195', '2003', '14601', '20031023', '20031021', 'Lisbet Morliner', 'Isteri', 'RS Proklamasi', '811199', 1495150, 1495150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14602, '72000701', '2003', '14602', '20031023', '20031022', 'Desi Mirdasari', 'Isteri', 'Apotik Medikaprima', '811199', 201000, 201000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14603, '71990574', '2003', '14603', '20031023', '20031020', '', 'Pegawai', 'Klinik Depok', '811199', 94550, 94550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14604, '71950200', '2003', '14604', '20031023', '20031016', '', 'Anak I', 'dr Hartati', '811199', 76500, 57860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14605, '76031522', '2003', '14605', '20031028', '20031013', '', 'Pegawai', 'RS Al Kamal', '811199', 1035000, 810000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14606, '71031758', '2003', '14606', '20031028', '20031014', '', 'Pegawai', 'dr Edward', '811199', 97900, 97900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14607, '60032087', '2003', '14607', '20031028', '20031004', '', 'Pegawai', 'dr Afriyanti K', '811199', 240500, 240500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14608, '69980544', '2003', '14608', '20031028', '20031021', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 221725, 221725, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14609, '76021234', '2003', '14609', '20031028', '20031019', '', 'Pegawai', 'Klinik Mulya', '811199', 85100, 85100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14610, '63000711', '2003', '14610', '20031028', '20031023', 'Inas Fadillah', 'Anak I', 'dr Kuwat Suparman', '811199', 224400, 224400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14611, '68920053', '2003', '14611', '20031028', '20031021', 'Hafizh Insan A', 'Anak I', 'drg Dewi', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14612, '77000672', '2003', '14612', '20031028', '20031020', '', 'Pegawai', 'dr Untung', '811199', 67000, 67000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14613, '66000670A', '2003', '14613', '20031028', '20031022', '', 'Pegawai', 'drg Mucharom', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14614, '73970451', '2003', '14614', '20031028', '20031023', '', 'Pegawai', 'dr Lusiana', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14615, '66920026', '2003', '14615', '20031028', '20031023', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 222551, 222551, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14616, '76021082', '2003', '14616', '20031028', '20031017', '', 'Pegawai', 'drg Emilia', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14617, '76960435', '2003', '14617', '20031028', '20031023', '', 'Isteri', 'RS Siloam', '811199', 180900, 180900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14618, '72980510', '2003', '14618', '20031028', '20031023', '', 'Isteri', 'dr Kayanto', '811199', 176800, 176800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14619, '67950168', '2003', '14619', '20031028', '20031021', '', 'Pegawai', 'Apotik Persada', '811199', 685000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14620, '51030006', '2003', '14620', '20031028', '20031022', '', 'Pegawai', 'dr Indrajana', '811199', 535000, 535000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14621, '65010987', '2003', '14621', '20031028', '20031023', '', 'Isteri', 'RS Hermina Bekasi', '811199', 298685, 298685, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14622, '66920026', '2003', '14622', '20031028', '20031024', 'Ngakan Made Prakasa Judha', 'Anak II', 'Apotek Moerti', '811199', 355023, 355023, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14623, '65920018', '2003', '14623', '20031028', '20031025', 'Aslha', 'Anak III', 'dr Rachmat', '811199', 311000, 311000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14624, '71950200', '2003', '14624', '20031028', '20031024', '', 'Anak I', 'Apotik Medistra', '811199', 537400, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14625, '60950189', '2003', '14625', '20031028', '20031024', '', 'Pegawai', 'RS Budi Lestari', '811199', 124000, 124000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14626, '70960377', '2003', '14626', '20031028', '20030925', '', 'Pegawai', 'RS Medistra', '811199', 190300, 190300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14627, '65980552', '2003', '14627', '20031028', '20031013', 'Frida Andriani', 'Isteri', 'Apotik Pamulang', '811199', 137500, 137500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14628, '71950212', '2003', '14628', '20031028', '20031025', '', 'Pegawai', 'dr Nugroho', '811199', 780300, 780300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14629, '53920027', '2003', '14629', '20031028', '20031022', '', 'Anak I', 'drg Linda', '811199', 107625, 107625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14630, '17101947', '2003', '14630', '20031028', '20031019', '', 'Pegawai', 'Aptk Melawai', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14631, '65970472', '2003', '14631', '20031028', '20031019', '', 'Pegawai', 'dr Yulia', '811199', 309000, 309000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14632, '76030008', '2003', '14632', '20031028', '20031018', '', 'Anak I', 'dr Hartono', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14633, '56920028', '2003', '14633', '20031028', '20031026', '', 'Pegawai', 'Aptk Kramat Jadi', '811199', 249800, 249800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14634, '70000717', '2003', '14634', '20031028', '20031025', '', 'Pegawai', 'RS Bintaro', '811199', 710017, 710017, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14635, '66990584', '2003', '14635', '20031028', '20031014', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14636, '73010870', '2003', '14636', '20031028', '20031018', '', 'Pegawai', 'Klinik Pejaten', '811199', 113500, 113500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14637, '68000752', '2003', '14637', '20031028', '20031023', 'Sri Siswanti SH', 'Isteri', 'Praktek Aji Waras', '811199', 273700, 273700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14638, '75980563', '2003', '14638', '20031028', '20031023', '', 'Pegawai', 'drg Winawati', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14639, '71990647', '2003', '14639', '20031028', '20031023', '', 'Pegawai', 'Klinik Medivita', '811199', 310000, 310000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14640, '65960379', '2003', '14640', '20031028', '20031020', 'Muhammad Kemal Ramadhan', 'Anak I', 'Aptk Kalibata', '811199', 52500, 52500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14641, '16801865', '2003', '14641', '20031028', '20031023', '', 'Anak I', 'dr Ety', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14642, '17601989', '2003', '14642', '20031028', '20031025', '', 'Pegawai', 'RS Alvernia', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14643, '60950354', '2003', '14643', '20031028', '20031015', 'Damar Surya Irdana', 'Anak II', 'dr Hartatin', '811199', 183500, 183500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14644, '70000684', '2003', '14644', '20031028', '20031020', '', 'Pegawai', 'dr Gatami', '811199', 209300, 209300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14645, '72950205', '2003', '14645', '20031028', '20031027', 'Rizqullah Ishaq', 'Anak I', 'RS TK', '811199', 42300, 42300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14646, '70990648', '2003', '14646', '20031028', '20031027', 'Faizah Rahmah Izzatudini', 'Anak I', 'RSIA Hermina', '811199', 286970, 286970, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14647, '78021416', '2003', '14647', '20031028', '20031017', '', 'Pegawai', 'Klinik dr Fahry', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14648, '67950172', '2003', '14648', '20031028', '20031018', '', 'Pegawai', 'dr Suzanty', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14649, '66920106', '2003', '14649', '20031028', '20031027', '', 'Pegawai', 'BPU Yadi', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14650, '63970464', '2003', '14650', '20031028', '20031027', '', 'Pegawai', 'dr Rahmawati', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14651, '54099650', '2003', '14651', '20031028', '20031020', '', 'Pegawai', 'dr Sulastri', '811199', 204100, 204100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14652, '60970479', '2003', '14652', '20031028', '20031026', '', 'Pegawai', 'drg Hendrik', '811199', 530000, 530000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14653, '76010936', '2003', '14653', '20031028', '20031026', '', 'Pegawai', 'RS Holistik', '811199', 740000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14654, '81031469', '2003', '14654', '20031028', '20031015', '', 'Pegawai', 'dr Suherman', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14655, '76031957', '2003', '14655', '20031028', '20031013', '', 'Pegawai', 'Klinik Waluya', '811199', 56000, 56000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14656, '78021416', '2003', '14656', '20031031', '20031030', '', 'Pegawai', 'RS Haji', '811199', 227500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14657, '63920052', '2003', '14657', '20031031', '20031027', '', 'Pegawai', 'dr Sumarmo', '811199', 202700, 202700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14658, '74000792', '2003', '14658', '20031031', '20031022', '', 'Pegawai', 'dr Budi Hartati', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14659, '77000793', '2003', '14659', '20031031', '20031025', '', 'Pegawai', 'drg Laksmi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14660, '76011015', '2003', '14660', '20031031', '20031024', '', 'Pegawai', 'Klinik Tugu Medical', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14661, '67960411', '2003', '14661', '20031031', '20031025', 'Endang Kuspringati S', 'Isteri', 'RS Bhineka', '811199', 174000, 174000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14662, '60960384', '2003', '14662', '20031031', '20031027', 'Wayan Martini', 'Isteri', 'dr Made Sadguna', '811199', 260925, 260925, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14663, '71980551', '2003', '14663', '20031031', '20031024', '', 'Pegawai', 'Ladogi', '811199', 249500, 249500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14664, '65930143', '2003', '14664', '20031031', '20031007', '', 'Pegawai', 'RS Puri Cinere', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14665, '16701946', '2003', '14665', '20031031', '20031025', '', 'Anak I', 'drg Ibnu', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14666, '68950221', '2003', '14666', '20031031', '20031025', '', 'Anak II', 'RS Tria Dipa', '811199', 395500, 395500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14667, '70950204', '2003', '14667', '20031031', '20031024', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14668, '59021080', '2003', '14668', '20031031', '20031023', '', 'Anak I', 'Aptk Trinitas', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14669, '65920033', '2003', '14669', '20031031', '20031028', 'Eti Karyati', 'Isteri', 'dr Subarni', '811199', 158900, 158900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14670, '63950202', '2003', '14670', '20031031', '20031027', '', 'Pegawai', 'Klinik Bukit Cirendeu', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14671, '72000794', '2003', '14671', '20031031', '20031027', '', 'Pegawai', 'Poli Dharma Bhakti', '811199', 183500, 183500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14672, '75020004', '2003', '14672', '20031031', '20031025', '', 'Pegawai', 'dr Gunawan', '811199', 176200, 176200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14673, '57990576', '2003', '14673', '20031031', '20031020', '', 'Pegawai', 'RS Mitra Int,l', '811199', 220800, 220800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14674, '65950169', '2003', '14674', '20031031', '20031025', '', 'Pegawai', 'drg Aryanto', '811199', 800000, 800000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14675, '70950370', '2003', '14675', '20031031', '20031024', '', 'Anak I', 'dr A.Pudjiadi', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14676, '72950364', '2003', '14676', '20031031', '20031025', '', 'Pegawai', 'RS Ypk', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14677, '69021086', '2003', '14677', '20031031', '20031024', '', 'Pegawai', 'RSU Herna', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14678, '64950185', '2003', '14678', '20031031', '20031027', '', 'Isteri', 'RS Puri Cinere', '811199', 1493200, 1493200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14679, '60920075', '2003', '14679', '20031031', '20031028', 'Ratna Yunita', 'Isteri', 'dr Tadjudin', '811199', 439700, 27800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14680, '70940155', '2003', '14680', '20031031', '20031028', 'Astri FW.', 'Anak I', 'Aptk Masnaga', '811199', 104400, 104400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14681, '71940159', '2003', '14681', '20031031', '20031027', '', 'Pegawai', 'RS Pondok Indah', '811199', 337697, 337697, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14682, '73021081', '2003', '14682', '20031031', '20031020', '', 'Anak I', 'dr Lies', '811199', 191100, 191100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14683, '75990580', '2003', '14683', '20031031', '20031028', '', 'Pegawai', 'Medika Pamulang', '811199', 95800, 95800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14684, '78031489', '2003', '14684', '20031031', '20031028', '', 'Pegawai', 'dr Feni', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14685, '69940161', '2003', '14685', '20031031', '20031029', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 472000, 472000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14686, '60970471', '2003', '14686', '20031031', '20031028', 'Mazaya Nauli', 'Anak I', 'dr S Poedjo', '811199', 148300, 148300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14687, '66000735', '2003', '14687', '20031031', '20031013', '', 'Pegawai', 'dr Hatmansyah', '811199', 30700, 30700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14688, '76021048', '2003', '14688', '20031031', '20031020', '', 'Pegawai', 'dr Tinawati', '811199', 355000, 355000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14689, '71960398', '2003', '14689', '20031031', '20031003', '', 'Anak I', 'RS Graha M', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14690, '67970470', '2003', '14690', '20031031', '20031029', '', 'Pegawai', 'RS MMC', '811199', 297900, 297900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14691, '58950188', '2003', '14691', '20031031', '20031030', 'Komerahyatun', 'Isteri', 'DR Gustopo', '811199', 355400, 355400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14692, '71970456', '2003', '14692', '20031031', '20031024', '', 'Pegawai', 'RS Medistra', '811199', 346200, 346200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14693, '66920067', '2003', '14693', '20031031', '20031029', 'Deny Waty Djaafar', 'Isteri', 'RS Mitra INt,l', '811199', 279600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14694, '16801896', '2003', '14694', '20031031', '20031025', '', 'Anak I', 'RS Pluit', '811199', 335490, 335490, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14695, '68950221', '2003', '14695', '20031031', '20031030', '', 'Anak II', 'RS Hermina', '811199', 137750, 137750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14696, '64960402', '2003', '14696', '20031031', '20031028', '', 'Pegawai', 'RS Medistra', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14697, '74950356', '2003', '14697', '20031104', '20031029', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 200300, 200300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14698, '76021082', '2003', '14698', '20031104', '20031028', '', 'Pegawai', 'Aptk Mudjarab', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14699, '72000707', '2003', '14699', '20031104', '20031024', '', 'Anak I', 'dr Tinuk', '811199', 496000, 496000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14700, '60920041', '2003', '14700', '20031104', '20031021', 'Dewi Handayani', 'Isteri', 'RS Mitra', '811199', 1159600, 1159600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14701, '73950346', '2003', '14701', '20031104', '20031022', '', 'Pegawai', 'RS Dharmais', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14702, '75031490', '2003', '14702', '20031104', '20031024', '', 'Pegawai', 'dr Nugroho', '811199', 346200, 216360, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14703, '65960379', '2003', '14703', '20031104', '20031029', 'Muhammad Kemal Ramadhan', 'Anak I', 'Klinik Alergi', '811199', 781300, 781300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14704, '66950191', '2003', '14704', '20031104', '20031029', '', 'Pegawai', 'RSPI', '811199', 860495, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14705, '60920075', '2003', '14705', '20031104', '20031029', 'Ratna Yunita', 'Isteri', 'dr Tadjudin', '811199', 186600, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14706, '65950169', '2003', '14706', '20031104', '20031011', '', 'Pegawai', 'Klinik Cikal', '811199', 384800, 384800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14707, '69021086', '2003', '14707', '20031104', '20031029', '', 'Anak II', 'dr Handarmi', '811199', 138500, 138500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14708, '74000719', '2003', '14708', '20031104', '20031031', '', 'Pegawai', 'RS Bunda', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14709, '49920032', '2003', '14709', '20031104', '20031030', '', 'Pegawai', 'RS Carolus', '811199', 172800, 172800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14710, '16701946', '2003', '14710', '20031104', '20031102', '', 'Anak I', 'drg Ibnu', '811199', 424200, 424200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14711, '69950162', '2003', '14711', '20031104', '20031101', 'Sri Hardiastuti', 'Isteri', 'dr Bramundito', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14712, '69970477', '2003', '14712', '20031104', '20031101', '', 'Anak I', 'dr SYarif R', '811199', 301500, 301500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14713, '68970466', '2003', '14713', '20031104', '20031025', '', 'Pegawai', 'dr Apifudin', '811199', 72500, 72500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14714, '73960391', '2003', '14714', '20031104', '20031004', 'Reynard', 'Anak I', 'RS Hermina', '811199', 155664, 155664, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14715, '68950371', '2003', '14715', '20031104', '20031031', '', 'Anak II', 'RSB Asih', '811199', 212000, 212000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14716, '69960396', '2003', '14716', '20031104', '20031029', '', 'Anak I', 'RS Puri Medika', '811199', 60500, 60500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14717, '16900803', '2003', '14717', '20031104', '20031027', '', 'Isteri', 'RS Mitra Int,l', '811199', 207300, 109900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14718, '64000846', '2003', '14718', '20031104', '20031025', '', 'Anak I', 'dr S R Endang', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14719, '68000752', '2003', '14719', '20031104', '20031029', '', 'Pegawai', 'Praktek Aji Waras', '811199', 146500, 5540, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14720, '65970482', '2003', '14720', '20031104', '20031027', '', 'Pegawai', 'dr Bambang', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14721, '69000669', '2003', '14721', '20031104', '20031031', '', 'Anak I', 'dr Gunawan', '811199', 247600, 247600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14722, '70930144', '2003', '14722', '20031104', '20031028', '', 'Pegawai', 'dr Sawitri', '811199', 247700, 183830, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14723, '60960384', '2003', '14723', '20031104', '20031031', '', 'Pegawai', 'dr Asruddin', '811199', 125250, 125250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14724, '65930147', '2003', '14724', '20031104', '20031029', 'Kristina Nursanti', 'Isteri', 'RS Harum', '811199', 307000, 307000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14725, '53920027', '2003', '14725', '20031104', '20031031', '', 'Anak I', 'drg Linda', '811199', 210125, 210125, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14726, '73970451', '2003', '14726', '20031104', '20031031', '', 'Pegawai', 'dr Lusiana', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14727, '67990636', '2003', '14727', '20031104', '20031028', 'Iqbal Aidina Arridho', 'Anak II', 'RS Hermina', '811199', 1136424, 1036424, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14728, '66920067', '2003', '14728', '20031104', '20031030', '', 'Pegawai', 'dr H Syafruddin', '811199', 312300, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14729, '68930133', '2003', '14729', '20031104', '20031103', '', 'Pegawai', 'RSCM', '811199', 384500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14730, '68970466', '2003', '14730', '20031104', '20031029', '', 'Pegawai', 'dr Chambali', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14731, '69960401', '2003', '14731', '20031104', '20031101', 'Elly S. Abdurachman', 'Isteri', 'dr Yenny', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14732, '65960379', '2003', '14732', '20031104', '20031027', 'Muhammad Kemal Ramadhan', 'Anak I', 'RS MMC', '811199', 96500, 96500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14733, '75010905', '2003', '14733', '20031104', '20031027', '', 'Pegawai', 'Ladokgi', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14734, '72031509', '2003', '14734', '20031104', '20031028', '', 'Pegawai', 'dr Binsar', '811199', 206116, 206116, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14735, '70031507', '2003', '14735', '20031104', '20031103', '', 'Anak I', 'dr Koesprapto', '811199', 286100, 286100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14736, '72950364', '2003', '14736', '20031104', '20031101', '', 'Pegawai', 'RS OMC', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14737, '74990649', '2003', '14737', '20031104', '20031031', '', 'Pegawai', 'dr Rudy', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14738, '64920046', '2003', '14738', '20031104', '20030908', 'Aisyah Aprilea', 'Anak II', 'Klinik dr Erny', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14739, '68950174', '2003', '14739', '20031104', '20031025', '', 'Anak I', 'RS Hermina', '811199', 350900, 350900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14740, '61950175', '2003', '14740', '20031104', '20031031', 'Novana Nisrina W', 'Anak I', 'dr Alan R.T', '811199', 198500, 198500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14741, '59920030', '2003', '14741', '20031104', '20031028', '', 'Pegawai', 'Prof H M Hardjono', '811199', 305400, 226500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14742, '68000752', '2003', '14742', '20031104', '20031031', '', 'Pegawai', 'RSPI', '811199', 122445, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14743, '77011035', '2003', '14743', '20031104', '20031030', '', 'Pegawai', 'dr Ratnasari', '811199', 147000, 147000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14744, '74021263', '2003', '14744', '20031104', '20031025', '', 'Anak I', 'dr Bambang', '811199', 105000, 105000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14745, '75980563', '2003', '14745', '20031104', '20031031', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 131950, 131950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14746, '77031467', '2003', '14746', '20031104', '20030928', '', 'Pegawai', 'Optik Melawai', '811199', 1153000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14747, '78021416', '2003', '14747', '20031107', '20031023', '', 'Pegawai', 'Klinik dr Pahry', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14748, '16801896', '2003', '14748', '20031107', '20031101', '', 'Anak I', 'RS Pluit', '811199', 216900, 216900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14749, '61970468', '2003', '14749', '20031107', '20031101', '', 'Anak I', 'RS Budhi Jaya', '811199', 371000, 371000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14750, '67970469', '2003', '14750', '20031107', '20031101', 'Suharti', 'Isteri', 'drg Gina', '811199', 432000, 432000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14751, '71980540', '2003', '14751', '20031107', '20031104', 'Indah Kusharyanti', 'Isteri', 'dr H Budhy', '811199', 443900, 443900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14752, '57980555', '2003', '14752', '20031107', '20031020', 'Enggar Parastri', 'Anak III', 'drg Reni', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14753, '71980551', '2003', '14753', '20031107', '20031031', '', 'Pegawai', 'Ladogi', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14754, '73021088', '2003', '14754', '20031107', '20031103', '', 'Isteri', 'JMC', '811199', 53400, 53400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14755, '68000709', '2003', '14755', '20031107', '20031103', '', 'Isteri', 'Apotik Rachmat', '811199', 130300, 130300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14756, '60960384', '2003', '14756', '20031107', '20031104', '', 'Pegawai', 'klinik gading elok', '811199', 314900, 314900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14757, '69980544', '2003', '14757', '20031107', '20031104', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 245200, 245200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14758, '69960401', '2003', '14758', '20031107', '20031104', 'Elly S. Abdurachman', 'Isteri', 'Aptk Masnaga', '811199', 21500, 21500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14759, '76030008', '2003', '14759', '20031107', '20031031', '', 'Isteri', 'drg Umi Budhiyanti', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14760, '66920106', '2003', '14760', '20031107', '20031105', '', 'Pegawai', 'Puskesmas', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14761, '72031488', '2003', '14761', '20031107', '20031026', '', 'Pegawai', 'Klinik Kartika', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14762, '71031758', '2003', '14762', '20031107', '20031103', '', 'Pegawai', 'Apotik Rini', '811199', 878400, 878400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14763, '65960416', '2003', '14763', '20031107', '20031105', 'Meity Muljati', 'Isteri', 'Apotik RS Azra', '811199', 136800, 136800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14764, '63910010', '2003', '14764', '20031107', '20031104', 'Sharmaina', 'Anak III', 'dr Azwir', '811199', 246400, 246400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14765, '73010858', '2003', '14765', '20031107', '20031030', '', 'Anak I', 'RS Mitra Int''l', '811199', 131500, 131500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14766, '66920073', '2003', '14766', '20031107', '20031028', '', 'Anak I', 'RS Mary', '811199', 392300, 392300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14767, '17501981', '2003', '14767', '20031107', '20031105', '', 'Pegawai', 'dr Hetty', '811199', 252000, 252000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14768, '74950356', '2003', '14768', '20031107', '20031104', 'Rendy Santoso', 'Anak I', 'klinik Sentosa', '811199', 39000, 39000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14769, '75980569', '2003', '14769', '20031107', '20031102', '', 'Pegawai', 'Kimia Farma', '811199', 270000, 128500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14770, '58950188', '2003', '14770', '20031107', '20031105', 'Komerahyatun', 'Isteri', 'dr Agung Prayitno', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14771, '72980510', '2003', '14771', '20031107', '20031103', '', 'Isteri', 'dr Kayanto', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14772, '68950341', '2003', '14772', '20031107', '20031103', '', 'Anak I', 'RSHK', '811199', 284000, 284000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14773, '70950214', '2003', '14773', '20031107', '20031104', '', 'Anak I', 'Apotik Raya', '811199', 106900, 106900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14774, '70920034', '2003', '14774', '20031107', '20031104', '', 'Pegawai', 'RS Mitra', '811199', 111500, 111500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14775, '61920045', '2003', '14775', '20031107', '20031106', 'Sutirma J.Rosalina', 'Isteri', 'Apotik Gas Alam', '811199', 755300, 755300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14776, '71980551', '2003', '14776', '20031107', '20031105', '', 'Pegawai', 'Ladogi', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14777, '60960384', '2003', '14777', '20031107', '20031105', '', 'Pegawai', 'dr H Soetomo', '811199', 2779500, 2779500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14778, '58000840', '2003', '14778', '20031107', '20031101', '', 'Pegawai', 'dr Anita', '811199', 89300, 89300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14779, '60970474', '2003', '14779', '20031107', '20031020', '', 'Pegawai', 'drg Gina', '811199', 810000, 810000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14780, '79021428', '2003', '14780', '20031107', '20031026', '', 'Pegawai', 'RS Islam Bor', '811199', 25000, 25000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14781, '66930135', '2003', '14781', '20031111', '20031027', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 1953027, 1953027, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14782, '66930135', '2003', '14782', '20031111', '20030915', 'Titi Erfida SH', 'Isteri', 'RS Pertamina', '811199', 312817, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14783, '65930147', '2003', '14783', '20031111', '20031031', '', 'Anak I', 'RS Harum', '811199', 138000, 138000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14784, '59021080', '2003', '14784', '20031111', '20031108', '', 'Pegawai', 'Aptk Trinitas', '811199', 261000, 261000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14785, '73950170', '2003', '14785', '20031111', '20031110', '', 'Anak I', 'Aptk Kartika Husada', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14786, '74000719', '2003', '14786', '20031111', '20031110', '', 'Pegawai', 'RS Bunda', '811199', 206000, 206000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14787, '70950183', '2003', '14787', '20031111', '20031110', '', 'Pegawai', 'RSPP', '811199', 264500, 264500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14788, '63950202', '2003', '14788', '20031111', '20031109', 'Habapusilah', 'Isteri', 'Bidan Talena', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14789, '70000806', '2003', '14789', '20031111', '20031107', '', 'Pegawai', 'Aptk Pejaten', '811199', 158800, 158800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14790, '76980539', '2003', '14790', '20031111', '20031106', '', 'Pegawai', 'RS JMC', '811199', 73800, 73800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14791, '79021172', '2003', '14791', '20031111', '20031102', '', 'Pegawai', 'RS Cengkareng', '811199', 52500, 52500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14792, '75021078', '2003', '14792', '20031111', '20031020', '', 'Pegawai', 'Aptk Kartini', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14793, '70010898', '2003', '14793', '20031111', '20031027', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14794, '71980551', '2003', '14794', '20031111', '20031107', '', 'Pegawai', 'Ladogi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14795, '64000846', '2003', '14795', '20031111', '20031109', '', 'Pegawai', 'dr S R Endang', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14796, '73000759', '2003', '14796', '20031111', '20031109', '', 'Pegawai', 'dr Yuliane', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14797, '56950201', '2003', '14797', '20031111', '20031106', 'David Heriady', 'Anak III', 'Klinik Citama', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14798, '76031957', '2003', '14798', '20031111', '20031027', '', 'Pegawai', 'Klinik Pinang Sari', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14799, '78031437', '2003', '14799', '20031111', '20031106', '', 'Pegawai', 'Aptk Kawi Jaya', '811199', 175600, 175600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14800, '72000772', '2003', '14800', '20031111', '20031105', '', 'Isteri', 'JMC', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14801, '68950174', '2003', '14801', '20031111', '20031030', '', 'Anak I', 'RS Hermina', '811199', 248640, 248640, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14802, '76030008', '2003', '14802', '20031111', '20031104', '', 'Anak I', 'dr. Hartono', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14803, '78021264', '2003', '14803', '20031111', '20031105', '', 'Pegawai', 'Citra Ansana', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14804, '74011037', '2003', '14804', '20031111', '20031105', '', 'Pegawai', 'Aptk Kimia Farma', '811199', 315700, 315700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14805, '76011015', '2003', '14805', '20031111', '20031104', '', 'Pegawai', 'RSPP', '811199', 177500, 177500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14806, '69950209', '2003', '14806', '20031111', '20031106', 'Neneng Lutvia', 'Isteri', 'Century', '811199', 420900, 420900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14807, '69950209', '2003', '14807', '20031111', '20031105', 'Neneng Lutvia', 'Isteri', 'RS Mitra Int''l', '811199', 218300, 218300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14808, '66920026', '2003', '14808', '20031111', '20031031', 'Ngakan Made', 'Anak I', 'Aptk Moerti', '811199', 438346, 438346, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14809, '70010882', '2003', '14809', '20031111', '20031106', '', 'Anak I', 'Aptk Cavita Farma', '811199', 285700, 285700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14810, '68920057', '2003', '14810', '20031111', '20031105', '', 'Isteri', 'Klinik Kezia Medika', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14811, '70000791', '2003', '14811', '20031111', '20031106', 'Safarina', 'Isteri', 'RS Haji', '811199', 142800, 142800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14812, '62920017', '2003', '14812', '20031111', '20031110', '', 'Pegawai', 'dr Agung', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14813, '66950191', '2003', '14813', '20031111', '20031104', '', 'Anak I', 'RSPI', '811199', 351337, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14814, '60930116', '2003', '14814', '20031111', '20031017', '', 'Anak I', 'dr Nartono', '811199', 553700, 553700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14815, '74000702', '2003', '14815', '20031111', '20031104', '', 'Pegawai', 'RS Mitra Inter.', '811199', 231200, 231200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14816, '74990578', '2003', '14816', '20031111', '20031105', '', 'Pegawai', 'JMC', '811199', 135200, 135200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14817, '68000709', '2003', '14817', '20031111', '20031108', '', 'Pegawai', 'RS Hermina', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14818, '70031507', '2003', '14818', '20031111', '20031108', '', 'Isteri', 'Apotik Restu Bunda', '811199', 105400, 105400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14819, '74950226', '2003', '14819', '20031111', '20031105', '', 'Pegawai', 'drg Tony W', '811199', 65500, 65500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14820, '72960390', '2003', '14820', '20031114', '20031110', '', 'Pegawai', 'Medex Visi Medika', '811199', 141500, 141500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14821, '65970482', '2003', '14821', '20031114', '20031110', '', 'Pegawai', 'dr Bambang', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14822, '72980510', '2003', '14822', '20031114', '20031108', '', 'Isteri', 'RS MH Thamrin', '811199', 295000, 295000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14823, '70950214', '2003', '14823', '20031114', '20031108', '', 'Anak I', 'Apotik Raya', '811199', 74700, 74700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14824, '73010858', '2003', '14824', '20031114', '20031104', '', 'Isteri', 'Rs Mitra Int''l', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14825, '63920047', '2003', '14825', '20031114', '20031101', '', 'Pegawai', 'G.STabaluyan', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14826, '70950204', '2003', '14826', '20031114', '20031111', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14827, '70970475', '2003', '14827', '20031114', '20031112', '', 'Anak I', 'RS Hermina', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14828, '68920053', '2003', '14828', '20031114', '20031112', '', 'Anak III', 'RS Hermina', '811199', 260500, 260500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14829, '53920027', '2003', '14829', '20031114', '20031113', '', 'Pegawai', 'Ladokgi Martadinata', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14830, '65010987', '2003', '14830', '20031114', '20031029', '', 'Isteri', 'RS Hermina Bekasi', '811199', 119000, 119000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14831, '80031700', '2003', '14831', '20031114', '20031105', '', 'Pegawai', 'dr Khairul Anwar', '811199', 116500, 116500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14832, '67920054', '2003', '14832', '20031114', '20031020', 'Irma Rochima Puspita', 'Isteri', 'Apotik Aji Waras', '811199', 189900, 189900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14833, '62910008', '2003', '14833', '20031114', '20031025', 'Baldomero S. G.', 'Anak I', 'RS Int''l Bintaro', '811199', 170100, 155966, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14834, '56920028', '2003', '14834', '20031114', '20031112', 'Sri Endang Susilowati', 'Isteri', 'Aptk Kramat Jati', '811199', 382800, 382800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14835, '70950177', '2003', '14835', '20031114', '20031113', 'Wafa Dzulqa zakiyyah', 'Anak II', 'RSTK', '811199', 143500, 143500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14836, '74021263', '2003', '14836', '20031114', '20031112', '', 'Anak I', 'Apotik Jati Makmur', '811199', 300100, 300100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14837, '66920026', '2003', '14837', '20031114', '20031111', '', 'Pegawai', 'RS Int''l Bintaro', '811199', 243602, 243602, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14838, '16701946', '2003', '14838', '20031114', '20031113', '', 'Anak I', 'Century', '811199', 376400, 376400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14839, '79021076', '2003', '14839', '20031114', '20031031', '', 'Pegawai', 'RS Medistra', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14840, '65010987', '2003', '14840', '20031114', '20031112', '', 'Isteri', 'RS Hermina Bekasi', '811199', 160100, 160100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14841, '73970495', '2003', '14841', '20031114', '20031110', '', 'Pegawai', 'Aptk Permata Medika', '811199', 156100, 156100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14842, '68920057', '2003', '14842', '20031114', '20031112', '', 'Isteri', 'RSPC', '811199', 272700, 272700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14843, '72000696', '2003', '14843', '20031114', '20031110', '', 'Anak I', 'RSIA Hermina', '811199', 129340, 129340, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14844, '74950226', '2003', '14844', '20031114', '20031112', 'Syifa Ghallyah', 'Anak I', 'Aptk Roxy', '811199', 232900, 232900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14845, '76960435', '2003', '14845', '20031114', '20031112', '', 'Isteri', 'RS Siloam', '811199', 229500, 229500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14846, '76021234', '2003', '14846', '20031114', '20031110', '', 'Pegawai', 'Aptk Bahagia', '811199', 236100, 236100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14847, '58021106', '2003', '14847', '20031114', '20031103', 'Ica', 'Anak II', 'dr Wijoyo', '811199', 59700, 59700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14848, '16801865', '2003', '14848', '20031114', '20031108', '', 'Anak I', 'dr Ety', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14849, '63990637', '2003', '14849', '20031114', '20031111', 'Imaduddin A.R', 'Anak I', 'Klinik Sejahtera', '811199', 319500, 319500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14850, '16701946', '2003', '14850', '20031114', '20031108', '', 'Anak I', 'RS Medistra', '811199', 304000, 304000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14851, '57920024', '2003', '14851', '20031114', '20031014', '', 'Pegawai', 'Apotik Galaxy', '811199', 276800, 276800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14852, '57920024', '2003', '14852', '20031114', '20031110', '', 'Pegawai', 'Apotik Masnaga', '811199', 446000, 446000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14853, '72950205', '2003', '14853', '20031114', '20031112', 'Rizqullah Ishaq', 'Anak I', 'RS TK', '811199', 210700, 210700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14854, '66990584', '2003', '14854', '20031114', '20031029', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 113500, 113500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14855, '60980529', '2003', '14855', '20031114', '20031104', 'Yuli Martina', 'Isteri', 'RS Thamrin', '811199', 272500, 272500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14856, '64950219', '2003', '14856', '20031114', '20031113', '', 'Pegawai', 'drg Sunarso', '811199', 284000, 284000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14857, '61950175', '2003', '14857', '20031114', '20031111', '', 'Pegawai', 'dr Machjudin', '811199', 351000, 351000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14858, '57980555', '2003', '14858', '20031114', '20031112', '', 'Pegawai', 'RSPC', '811199', 736700, 736700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14859, '65960408', '2003', '14859', '20031114', '20031111', '', 'Pegawai', 'RS Haji', '811199', 447600, 447600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14860, '65960408', '2003', '14860', '20031114', '20031113', '', 'Pegawai', 'RS Medistra', '811199', 319100, 319100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14861, '69000669', '2003', '14861', '20031114', '20031110', '', 'Pegawai', 'Apotik Satiti', '811199', 410165, 410165, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14862, '67920065', '2003', '14862', '20031114', '20031111', '', 'Pegawai', 'Apotik Matahari', '811199', 177000, 177000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14863, '72099654', '2003', '14863', '20031114', '20031105', '', 'Isteri', 'Aptk Nusantara', '811199', 48400, 48400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14864, '72950363', '2003', '14864', '20031118', '20031113', '', 'Pegawai', 'Kuningan Medical', '811199', 304000, 304000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14865, '57920024', '2003', '14865', '20031118', '20031113', '', 'Pegawai', 'RS Mitra', '811199', 746200, 746200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14866, '60960384', '2003', '14866', '20031118', '20031113', 'Wynsenna Gede Marthas', 'Anak I', 'Klinik Medika Sempurna', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14867, '82020001', '2003', '14867', '20031118', '20031115', '', 'Pegawai', 'Klinik Syarif H', '811199', 160500, 160500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14868, '72980510', '2003', '14868', '20031118', '20031115', '', 'Isteri', 'RS MH Thamrin', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14869, '77011035', '2003', '14869', '20031118', '20031112', '', 'Pegawai', 'Aptk Kimia Farma', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14870, '8002002', '2003', '14870', '20031118', '20031113', '', 'Pegawai', 'Klinik Ritifa Medika', '811199', 71600, 71600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14871, '68920057', '2003', '14871', '20031118', '20031114', '', 'Anak I', 'Klinik Kezia Medika', '811199', 74000, 74000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14872, '73099601', '2003', '14872', '20031118', '20031115', 'Desmirita Anggraini', 'Isteri', 'RS MH Thamrin', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14873, '71980540', '2003', '14873', '20031118', '20031116', 'Indah Kusharyanti', 'Isteri', 'Apotik Peduli Sehat', '811199', 238300, 238300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14874, '66990584', '2003', '14874', '20031118', '20031114', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14875, '69960401', '2003', '14875', '20031118', '20031114', 'Elly S. Abdurachman', 'Isteri', 'Aptk Masnaga', '811199', 171200, 171200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14876, '69950209', '2003', '14876', '20031118', '20031112', '', 'Anak I', 'RS Mitra Int''l', '811199', 252900, 252900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14877, '53920027', '2003', '14877', '20031118', '20031116', 'Amalia Retno Purwanti', 'Isteri', 'RS MMC', '811199', 196200, 196200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14878, '65960408', '2003', '14878', '20031118', '20031117', '', 'Pegawai', 'RS Medistra', '811199', 407500, 407500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14879, '65021085', '2003', '14879', '20031118', '20031107', '', 'Anak I', 'dr Radwia S', '811199', 86600, 86600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14880, '57910014', '2003', '14880', '20031118', '20031115', 'Amir Shiddiq', 'Anak I', 'dr Yacob', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14881, '67920089', '2003', '14881', '20031118', '20031115', 'Muhammad Ilham Kamil', 'Anak II', 'RS MMC', '811199', 99700, 99700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14882, '67960411', '2003', '14882', '20031118', '20031114', 'Fakhri Achmad', 'Anak II', 'Klinik Husni Medika', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14883, '60920041', '2003', '14883', '20031118', '20031103', 'Panji Ksatria Wisesa', 'Anak I', 'Apotik Famili 21', '811199', 403500, 403500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14884, '71960398', '2003', '14884', '20031118', '20031113', '', 'Anak I', 'RS Graha Medika', '811199', 308500, 308500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14885, '75020004', '2003', '14885', '20031118', '20031113', '', 'Pegawai', 'Apotik Aji Waras', '811199', 177800, 177800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14886, '66920035', '2003', '14886', '20031118', '20031116', 'Rayyan Attarr Z.A.', 'Anak II', 'RS Int''l Bintaro', '811199', 363688, 363688, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14887, '66920035', '2003', '14887', '20031118', '20030712', '', 'Pegawai', 'drg Soesi', '811199', 700000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14888, '71000750', '2003', '14888', '20031118', '20031110', '', 'Pegawai', 'Klinik Graha Medika', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14889, '17301957', '2003', '14889', '20031114', '20031027', '', 'Isteri', 'dr Susan', '811199', 62900, 62900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14890, '72950364', '2003', '14890', '20031121', '20031115', '', 'Pegawai', 'RS OMC', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14891, '73021088', '2003', '14891', '20031121', '20031110', '', 'Isteri', 'Klinik Medira', '811199', 49000, 49000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14892, '17201001', '2003', '14892', '20031121', '20031101', '', 'Isteri', 'RS Hermina', '811199', 172000, 172000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14893, '70010898', '2003', '14893', '20031121', '20031117', '', 'Isteri', 'dr Karyadi', '811199', 299000, 299000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14894, '69960401', '2003', '14894', '20031121', '20031120', 'Elly S. Abdurachman', 'Isteri', 'Aptk Masnaga', '811199', 64700, 64700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14895, '76030008', '2003', '14895', '20031121', '20031109', '', 'Anak I', 'dr Hartono', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14896, '78031489', '2003', '14896', '20031121', '20031116', '', 'Pegawai', 'Aptk Sahabat', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14897, '16701946', '2003', '14897', '20031121', '20031115', '', 'Anak I', 'drg Ibnu', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14898, '81031505', '2003', '14898', '20031121', '20031117', '', 'Pegawai', 'dr Agus P', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14899, '71930148', '2003', '14899', '20031121', '20031117', '', 'Pegawai', 'dr Tedi Purnomo', '811199', 82500, 82500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14900, '78031442', '2003', '14900', '20031121', '20031119', '', 'Pegawai', 'dr Budhiarto', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14901, '64930110', '2003', '14901', '20031121', '20031110', '', 'Pegawai', 'drg Shinta W', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14902, '79010904', '2003', '14902', '20031121', '20031115', '', 'Pegawai', 'RS Harum', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14903, '69950162', '2003', '14903', '20031121', '20031118', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 195200, 195200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14904, '75010905', '2003', '14904', '20031121', '20031106', '', 'Pegawai', 'dr Valentin J', '811199', 103125, 103125, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14905, '68950371', '2003', '14905', '20031121', '20031118', 'Anggraini', 'Isteri', 'Aptk Duta Medika', '811199', 366300, 366300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14906, '71990660', '2003', '14906', '20031121', '20031111', '', 'Anak I', 'RS OMC', '811199', 208060, 208060, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14907, '75021078', '2003', '14907', '20031121', '20031112', '', 'Pegawai', 'BKR MKGR', '811199', 152500, 152500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14908, '17501895', '2003', '14908', '20031121', '20031120', '', 'Pegawai', 'Klinik Medika', '811199', 284500, 284500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14909, '68000752', '2003', '14909', '20031121', '20031107', '', 'Pegawai', 'RSPI', '811199', 62000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14910, '72000707', '2003', '14910', '20031121', '20031115', '', 'Anak I', 'RSAB HK', '811199', 342000, 342000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14911, '76980517', '2003', '14911', '20031121', '20031112', '', 'Isteri', 'RSPC', '811199', 178800, 178800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14912, '68950221', '2003', '14912', '20031121', '20031117', 'Kevin Tria Nugroho', 'Anak I', 'RS Hermina', '811199', 353905, 188750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14913, '65010987', '2003', '14913', '20031121', '20031118', '', 'Anak I', 'dr Yanuar Pribadi', '811199', 124000, 124000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14914, '72000696', '2003', '14914', '20031121', '20031119', '', 'Anak I', 'RSIA Hermina', '811199', 152125, 152125, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14915, '72031488', '2003', '14915', '20031121', '20031118', '', 'Pegawai', 'Aptk Kalibata', '811199', 187400, 187400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14916, '66010859', '2003', '14916', '20031121', '20031118', 'Maulida A.', 'Anak II', 'dr Santy Sulistya', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14917, '69021086', '2003', '14917', '20031121', '20031117', '', 'Anak II', 'dr Handarmi', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14918, '70000684', '2003', '14918', '20031121', '20031111', '', 'Anak I', 'dr Gatami', '811199', 191000, 191000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14919, '75980563', '2003', '14919', '20031121', '20031114', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 162670, 162670, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14920, '16801896', '2003', '14920', '20031121', '20031110', '', 'Pegawai', 'RS Pluit', '811199', 181000, 181000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14921, '62920050', '2003', '14921', '20031121', '20031110', 'Teti Auliya A', 'Isteri', 'Aptk Mahakam', '811199', 135800, 135800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14922, '73010858', '2003', '14922', '20031121', '20031113', '', 'Anak I', 'RS Mitra Int''l', '811199', 460700, 460700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14923, '60930108', '2003', '14923', '20031121', '20031028', 'Samara Sahrita Jahja', 'Isteri', 'Dental Art', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14924, '65980552', '2003', '14924', '20031121', '20031030', 'Frida Andriani', 'Isteri', 'Kllnik Pamulang', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14925, '57980555', '2003', '14925', '20031121', '20031114', 'Rusmiati', 'Isteri', 'Aptk Aji Waras', '811199', 524200, 524200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14926, '79010904', '2003', '14926', '20031202', '20031115', '', 'Pegawai', 'RS Harum', '811199', 179375, 179375, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14927, '74031496', '2003', '14927', '20031202', '20031122', '', 'Pegawai', 'RS PGI Cikini', '811199', 145800, 145800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14928, '75980563', '2003', '14928', '20031202', '20031122', 'Alia Hanifah', 'Isteri', 'RS Bersalin YPK', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14929, '73000759', '2003', '14929', '20031202', '20031122', '', 'Pegawai', 'dr Prima', '811199', 79000, 79000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14930, '82020001', '2003', '14930', '20031202', '20031004', '', 'Pegawai', 'RSB Asih', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14931, '56920028', '2003', '14931', '20031202', '20031119', 'Sri Endang Susilowati', 'Isteri', 'Aptk Guci Medika', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14932, '79021111', '2003', '14932', '20031202', '20031116', '', 'Pegawai', 'Klinik Keluarga', '811199', 26000, 26000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14933, '69970477', '2003', '14933', '20031202', '20031102', '', 'Anak I', 'dr Syarif R', '811199', 40900, 40900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14934, '62920017', '2003', '14934', '20031202', '20031129', '', 'Anak I', 'RS Tria Dipa', '811199', 180765, 180765, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14935, '65970482', '2003', '14935', '20031202', '20031123', '', 'Pegawai', 'RS Tumbuh Kembang', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14936, '69950162', '2003', '14936', '20031202', '20031129', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14937, '77021138', '2003', '14937', '20031202', '20031121', '', 'Pegawai', 'dr Titi M', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14938, '50950207', '2003', '14938', '20031202', '20031128', '', 'Pegawai', 'drg Dewi Sulastiningsih', '811199', 220000, 220000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14939, '73970451', '2003', '14939', '20031202', '20031122', '', 'Pegawai', 'RS PMI Bor', '811199', 643100, 635000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14940, '74950226', '2003', '14940', '20031202', '20031122', '', 'Pegawai', 'dr Tan Gek Soan', '811199', 73900, 73900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14941, '60960384', '2003', '14941', '20031202', '20031122', 'Wayan Martini', 'Isteri', 'RS Hermina', '811199', 481175, 453180, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14942, '17601989', '2003', '14942', '20031202', '20031124', '', 'Pegawai', 'Aptk Rini', '811199', 123000, 123000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14943, '66950220', '2003', '14943', '20031202', '20031117', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14944, '62920050', '2003', '14944', '20031202', '20031201', 'M. Abrar Rafii', 'Anak II', 'Aptk Kemanggisan', '811199', 144700, 144700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14945, '71950212', '2003', '14945', '20031202', '20031128', '', 'Pegawai', 'Apotik Rini', '811199', 335000, 335000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14946, '74000702', '2003', '14946', '20031202', '20031113', '', 'Pegawai', 'Apotik Melawai', '811199', 193600, 193600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14947, '70950370', '2003', '14947', '20031202', '20031117', '', 'Pegawai', 'dr Wim T Pangemanan', '811199', 182300, 182300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14948, '56950201', '2003', '14948', '20031202', '20031128', 'Devi Winingsih', 'Anak I', 'dr Jacob', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14949, '65920018', '2003', '14949', '20031202', '20031123', 'Deny Firmansyah', 'Anak I', 'Apotik Imphi', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14950, '66920106', '2003', '14950', '20031202', '20031113', 'Fitriani', 'Isteri', 'BPU Yadi', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14951, '57910014', '2003', '14951', '20031202', '20031126', 'Suwarni', 'Isteri', 'dr Jacob', '811199', 137000, 137000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14952, '77000672', '2003', '14952', '20031202', '20031126', '', 'Pegawai', 'RSUD Ciamis', '811199', 373550, 373550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14953, '49920032', '2003', '14953', '20031202', '20031124', '', 'Pegawai', 'RS Carolus', '811199', 433400, 433400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14954, '65920033', '2003', '14954', '20031202', '20031128', 'Eti Karyati', 'Isteri', 'RS Tumbuh Kembang', '811199', 384800, 384800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14955, '73099601', '2003', '14955', '20031202', '20031128', '', 'Anak I', 'Apotik Kimia Farma', '811199', 219500, 219500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14956, '69000692', '2003', '14956', '20031202', '20031119', '', 'Pegawai', 'RS Mitra Int''l', '811199', 1077400, 1077400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14957, '70950216', '2003', '14957', '20031202', '20031129', '', 'Pegawai', 'RS Santo Borromeus', '811199', 1369750, 1369750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14958, '60930116', '2003', '14958', '20031202', '20031122', '', 'Pegawai', 'dr Nartono', '811199', 837400, 837400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14959, '43950002', '2003', '14959', '20031202', '20031028', '', 'Isteri', '', '811199', 5502375, 5502375, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14960, '72000696', '2003', '14960', '20031205', '20031129', '', 'Anak I', 'RSIA Hermina', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14961, '17101947', '2003', '14961', '20031205', '20031201', '', 'Pegawai', 'Aptk Melawai', '811199', 296000, 296000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14962, '72031488', '2003', '14962', '20031205', '20031120', '', 'Pegawai', 'Aptk Century', '811199', 496000, 496000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14963, '73010870', '2003', '14963', '20031205', '20031122', '', 'Pegawai', 'drg Henni Tita P', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14964, '17700818', '2003', '14964', '20031205', '20031201', '', 'Pegawai', 'dr Sabana', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14965, '64000846', '2003', '14965', '20031205', '20031117', 'E. H Wahyuningsih', 'Isteri', 'RS St Carolus', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14966, '65021085', '2003', '14966', '20031205', '20031204', '', 'Pegawai', 'dr Radwin S', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14967, '63970476', '2003', '14967', '20031205', '20031203', '', 'Pegawai', 'drg Abdullah', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14968, '61970468', '2003', '14968', '20031205', '20031201', '', 'Anak I', 'RS Budhi Jaya', '811199', 146000, 146000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14969, '60970479', '2003', '14969', '20031205', '20031129', '', 'Pegawai', 'drg Hendrik', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14970, '17601989', '2003', '14970', '20031205', '20031202', '', 'Pegawai', 'RS Medistra', '811199', 145000, 145000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14971, '76960435', '2003', '14971', '20031205', '20031203', '', 'Isteri', 'dr Silayana S', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14972, '65920048', '2003', '14972', '20031205', '20031121', '', 'Pegawai', 'Klinik Adi Paraso', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14973, '76970457', '2003', '14973', '20031205', '20031121', '', 'Pegawai', 'drg Tri Soeprihati', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14974, '70031507', '2003', '14974', '20031205', '20031204', '', 'Pegawai', 'Apotik Restu Bunda', '811199', 182400, 182400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14975, '77021067', '2003', '14975', '20031205', '20031122', '', 'Pegawai', 'Klinik Restu Ibu', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14976, '77000678', '2003', '14976', '20031205', '20031114', '', 'Pegawai', 'dr Endah', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14977, '66920064', '2003', '14977', '20031205', '20031130', 'M. Eryan', 'Anak I', 'dr Rini T', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14978, '71960398', '2003', '14978', '20031205', '20031117', '', 'Anak I', 'RS Graha M', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14979, '74000725', '2003', '14979', '20031205', '20031203', '', 'Pegawai', 'RS Proklamasi', '811199', 136600, 136600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14980, '77011016', '2003', '14980', '20031205', '20031120', '', 'Pegawai', 'RS MMC', '811199', 119000, 119000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14981, '73021081', '2003', '14981', '20031205', '20031117', '', 'Anak I', 'Aptk Kolombo', '811199', 199700, 199700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14982, '65920018', '2003', '14982', '20031205', '20031202', 'Aslha', 'Anak III', 'RS Mitra Int''l', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14983, '71011018', '2003', '14983', '20031205', '20031129', '', 'Isteri', 'RS Hermina', '811199', 263700, 263700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14984, '74990649', '2003', '14984', '20031205', '20031204', '', 'Pegawai', 'Aptk Bayu Kranggan', '811199', 116300, 116300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14985, '64960402', '2003', '14985', '20031205', '20031202', '', 'Pegawai', 'Apotik Guardian', '811199', 236500, 236500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14986, '65950196', '2003', '14986', '20031205', '20031201', '', 'Pegawai', 'dr Martha', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14987, '70950183', '2003', '14987', '20031205', '20031204', '', 'Pegawai', 'Apotik Tasha Sehat', '811199', 276000, 276000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14988, '72000696', '2003', '14988', '20031205', '20031204', '', 'Anak I', 'RSIA Hermina', '811199', 119300, 119300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14989, '67970469', '2003', '14989', '20031205', '20031202', '', 'Pegawai', 'drg Gina', '811199', 376000, 226900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14990, '73950346', '2003', '14990', '20031205', '20031201', '', 'Pegawai', 'RS Int''l Bintaro', '811199', 278697, 278697, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14991, '59950195', '2003', '14991', '20031205', '20031111', 'Lisbet Morliner', 'Isteri', 'RS Proklamasi', '811199', 693400, 693400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14992, '70010898', '2003', '14992', '20031205', '20031201', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 290000, 290000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14993, '79010894', '2003', '14993', '20031205', '20031122', '', 'Pegawai', 'Apotik Kasih Ibu', '811199', 232000, 232000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14994, '68000752', '2003', '14994', '20031205', '20031107', '', 'Pegawai', 'RSPI', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14995, '65920018', '2003', '14995', '20031205', '20031204', 'Deny Firmansyah', 'Anak I', 'dr Ida Mardiati', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14996, '73021143', '2003', '14996', '20031205', '20031201', '', 'Isteri', 'Balai Penbatan', '811199', 305300, 305300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14997, '79021076', '2003', '14997', '20031205', '20031202', '', 'Pegawai', 'Apotik Pala Farma', '811199', 307300, 307300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14998, '76960435', '2003', '14998', '20031205', '20031202', '', 'Pegawai', 'dr Hendrarto', '811199', 448222, 448222, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (14999, '75010905', '2003', '14999', '20031205', '20031202', '', 'Pegawai', 'dr Budhi Setianto', '811199', 248200, 248200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15000, '65000730', '2003', '15000', '20031205', '20031111', 'M.Fakhri S', 'Anak I', 'RS Borromeus', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 15001 - 15500) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15001, '61920040', '2003', '15001', '20031205', '20031201', '', 'Pegawai', 'dr M Thamrin', '811199', 1790000, 1640000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15002, '62920060', '2003', '15002', '20031205', '20031201', '', 'Anak III', 'dr HM Ahmad', '811199', 492500, 492500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15003, '69000692', '2003', '15003', '20031205', '20031126', 'Kartika', 'Anak II', 'RS Mitra Int''l', '811199', 689000, 689000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15004, '67950193', '2003', '15004', '20031205', '20031129', '', 'Pegawai', 'Prodia', '811199', 657700, 657700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15005, '65960399', '2003', '15005', '20031205', '20031127', '', 'Anak I', 'Apotik Djatinegara', '811199', 516700, 516700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15006, '73000708', '2003', '15006', '20031205', '20031128', 'Rani Avianti', 'Isteri', 'RSPC', '811199', 464000, 464000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15007, '17201001', '2003', '15007', '20031205', '20031204', '', 'Isteri', 'Apotik Perdatam', '811199', 494300, 494300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15008, '72950223', '2003', '15008', '20031205', '20031203', '', 'Pegawai', 'dr Achmad C', '811199', 201500, 201500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15009, '49960404', '2003', '15009', '20031205', '20031114', '', 'Pegawai', 'RSCM', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15010, '71031758', '2003', '15010', '20031209', '20031208', '', 'Pegawai', 'Apotik Melawai', '811199', 90750, 90750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15011, '62920017', '2003', '15011', '20031209', '20031208', 'Hadidjah Sansono', 'Isteri', 'dr Agung', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15012, '65970482', '2003', '15012', '20031209', '20031208', '', 'Pegawai', 'dr Bambang', '811199', 54000, 54000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15013, '66970463', '2003', '15013', '20031209', '20031110', '', 'Pegawai', 'drg esnyoto', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15014, '78042295', '2003', '15014', '20031209', '20031205', '', 'Pegawai', 'Klinilk Bhakti Asih', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15015, '66980545', '2003', '15015', '20031209', '20031206', '', 'Anak I', 'Apotik Endah', '811199', 98800, 98800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15016, '53920027', '2003', '15016', '20031209', '20031121', '', 'Pegawai', 'Ladokgi Martadinata', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15017, '70950214', '2003', '15017', '20031205', '20031203', '', 'Anak I', 'Apotik Raya', '811199', 323266, 323266, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15018, '70990648', '2003', '15018', '20031209', '20031124', 'Faizah Rahmah Izzatudini', 'Anak I', 'RSU Bojonero', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15019, '56950201', '2003', '15019', '20031209', '20031203', 'David Heriady', 'Anak III', 'Klinik Dharma B', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15020, '68950174', '2003', '15020', '20031209', '20031202', '', 'Anak I', 'RS Hermina', '811199', 183680, 183680, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15021, '74950356', '2003', '15021', '20031209', '20031125', 'Hj. Junerah', 'Isteri', 'dr Erik Umbas', '811199', 320000, 320000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15022, '67950203', '2003', '15022', '20031209', '20031130', '', 'Pegawai', 'RS Int''l Bintaro', '811199', 215163, 215163, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15023, '67950203', '2003', '15023', '20031209', '20031205', 'Salsabila Shafira', 'Anak II', 'Klinik Raifa', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15024, '69980544', '2003', '15024', '20031209', '20031204', 'Lis Lismiana', 'Isteri', 'RS Hermina', '811199', 586700, 586700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15025, '74950226', '2003', '15025', '20031209', '20031205', 'Sheza M. A.', 'Anak II', 'Apotik Roxy', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15026, '74950356', '2003', '15026', '20031209', '20031208', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 238100, 238100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15027, '63970464', '2003', '15027', '20031209', '20031121', '', 'Pegawai', 'Ladokgi', '811199', 93500, 93500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15028, '17300901', '2003', '15028', '20031209', '20031203', '', 'Anak I', 'RS Hermina', '811199', 94000, 94000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15029, '17300901', '2003', '15029', '20031209', '20031017', '', 'Anak I', 'RS Hermina', '811199', 106800, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15030, '75980563', '2003', '15030', '20031209', '20031206', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 174300, 174300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15031, '73000708', '2003', '15031', '20031209', '20031207', '', 'Pegawai', 'RSPC', '811199', 121300, 121300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15032, '67960411', '2003', '15032', '20031209', '20031122', 'Endang Kuspringati S', 'Isteri', 'RS Bhineka', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15033, '70000791', '2003', '15033', '20031209', '20031208', 'Safarina', 'Isteri', 'RS Haji', '811199', 142800, 142800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15034, '79031761', '2003', '15034', '20031209', '20031204', '', 'Pegawai', 'Ladokgi Martadinata', '811199', 190000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15035, '64950185', '2003', '15035', '20031209', '20031121', '', 'Anak I', 'Apotik Anakku', '811199', 262000, 262000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15036, '70950231', '2003', '15036', '20031209', '20031121', '', 'Pegawai', 'dr Frans X S', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15037, '72000707', '2003', '15037', '20031209', '20031208', '', 'Anak I', 'RSAB HK', '811199', 537900, 537900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15038, '70920034', '2003', '15038', '20031209', '20031201', '', 'Pegawai', 'RS Mitra', '811199', 103000, 103000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15039, '49960404', '2003', '15039', '20031209', '20031206', 'Callista', 'Anak III', 'Apotik Satiti', '811199', 108800, 108800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15040, '60970471', '2003', '15040', '20031209', '20031206', '', 'Pegawai', 'RSPP', '811199', 658032, 658032, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15041, '16801896', '2003', '15041', '20031209', '20031203', '', 'Anak I', 'RS Pluit', '811199', 309100, 309100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15042, '16801865', '2003', '15042', '20031209', '20031115', '', 'Anak I', 'dr Songan', '811199', 172600, 172600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15043, '66920026', '2003', '15043', '20031209', '20031208', 'Ngakan Made', 'Anak I', 'RS Int''l Bintaro', '811199', 603375, 603375, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15044, '70990586', '2003', '15044', '20031209', '20031204', '', 'Pegawai', 'dr Bambang M', '811199', 296700, 236700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15045, '78990600', '2003', '15045', '20031209', '20031207', '', 'Pegawai', 'Apotik Surya S', '811199', 575190, 575190, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15046, '76011015', '2003', '15046', '20031209', '20031204', '', 'Pegawai', 'RSPP', '811199', 1046610, 1046610, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15047, '73010858', '2003', '15047', '20031209', '20031206', '', 'Isteri', 'RS Mitra Int''l', '811199', 536700, 113700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15048, '72000794', '2003', '15048', '20031209', '20031203', '', 'Anak I', 'dr Yulidar', '811199', 211300, 211300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15049, '51030006', '2003', '15049', '20031209', '20031030', '', 'Pegawai', 'dr Indrajana', '811199', 569000, 569000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15050, '65960408', '2003', '15050', '20031212', '20031123', '', 'Pegawai', 'dr Meri', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15051, '66010859', '2003', '15051', '20031212', '20031129', 'Pratiti', 'Isteri', 'Klinik Andini', '811199', 79500, 79500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15052, '17101947', '2003', '15052', '20031212', '20031206', '', 'Pegawai', 'Aptk Melawai', '811199', 485150, 485150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15053, '17300785', '2003', '15053', '20031212', '20031208', '', 'Pegawai', 'dr Hesty', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15054, '71011018', '2003', '15054', '20031212', '20031206', '', 'Isteri', 'RS Hermina', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15055, '17700818', '2003', '15055', '20031212', '20031208', '', 'Pegawai', 'dr Sabana', '811199', 165000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15056, '68950371', '2003', '15056', '20031212', '20031205', '', 'Anak II', 'RSB Asih', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15057, '79030001', '2003', '15057', '20031212', '20031201', '', 'Pegawai', 'drg Ida', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15058, '72960390', '2003', '15058', '20031212', '20031205', '', 'Pegawai', 'dr Farida/RS Thamrin', '811199', 122500, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15059, '66970463', '2003', '15059', '20031212', '20031210', '', 'Pegawai', 'RS Patria IKKT', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15060, '70960409', '2003', '15060', '20031212', '20031207', '', 'Pegawai', 'Talbia', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15061, '67950203', '2003', '15061', '20031212', '20031209', 'Rifqi Nabil Muhammad', 'Anak I', 'Klinik Raifa', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15062, '77000672', '2003', '15062', '20031212', '20031209', '', 'Pegawai', 'dr Untung', '811199', 67000, 67000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15063, '79010894', '2003', '15063', '20031212', '20031201', '', 'Pegawai', 'Apotik Kasih Ibu', '811199', 327500, 327500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15064, '69000687', '2003', '15064', '20031212', '20031119', '', 'Pegawai', 'RS Setia Mitra', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15065, '76960435', '2003', '15065', '20031212', '20031210', '', 'Isteri', 'drg Utami Pangestu', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15066, '51030006', '2003', '15066', '20031212', '20031127', '', 'Pegawai', 'Apotik Panazia', '811199', 859000, 859000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15067, '69940161', '2003', '15067', '20031212', '20031203', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15068, '69970477', '2003', '15068', '20031212', '20031206', '', 'Anak I', 'RS Mary', '811199', 179500, 179500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15069, '63000711', '2003', '15069', '20031212', '20031204', 'Haneti', 'Isteri', 'Aptk RS Azra', '811199', 174900, 174900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15070, '65970472', '2003', '15070', '20031212', '20031204', '', 'Pegawai', 'Apotik Bumi', '811199', 198900, 198900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15071, '65010987', '2003', '15071', '20031212', '20031204', '', 'Anak II', 'RS Hermina Bekasi', '811199', 216400, 216400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15072, '70950204', '2003', '15072', '20031212', '20031128', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15073, '61970468', '2003', '15073', '20031212', '20031208', '', 'Pegawai', 'RS MMC', '811199', 396500, 396500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15074, '72000696', '2003', '15074', '20031212', '20031210', '', 'Anak I', 'RSIA Hermina', '811199', 260860, 260860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15075, '70970475', '2003', '15075', '20031212', '20031210', '', 'Anak I', 'RS Hermina', '811199', 368580, 368580, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15076, '76970457', '2003', '15076', '20031212', '20031210', '', 'Pegawai', 'Apotik Sejati', '811199', 341000, 341000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15077, '74011037', '2003', '15077', '20031212', '20031122', '', 'Pegawai', 'Aptk Kimia Farma', '811199', 330100, 330100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15078, '73960391', '2003', '15078', '20031212', '20031115', 'Reynard', 'Anak I', 'RS Hermina', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15079, '60950189', '2003', '15079', '20031212', '20031206', '', 'Pegawai', 'RS Budi Lestari', '811199', 366000, 366000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15080, '65010987', '2003', '15080', '20031212', '20031210', '', 'Isteri', 'Aptk Legenda Farma', '811199', 239000, 239000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15081, '66970473', '2003', '15081', '20031212', '20031119', '', 'Anak I', 'Aptk Kimia Farma', '811199', 193300, 193300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15082, '62920017', '2003', '15082', '20031212', '20031211', '', 'Anak I', 'dr Azwir', '811199', 180200, 180200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15083, '77021138', '2003', '15083', '20031212', '20031211', '', 'Pegawai', 'dr Nyoman', '811199', 415000, 388600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15084, '70000684', '2003', '15084', '20031212', '20031204', '', 'Anak I', 'dr Gatami', '811199', 149800, 149800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15085, '69021086', '2003', '15085', '20031212', '20031208', '', 'Anak II', 'RSIA Mary', '811199', 199500, 199500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15086, '69960401', '2003', '15086', '20031212', '20031209', 'Elly S. Abdurachman', 'Isteri', 'Aptk Masnaga', '811199', 369500, 369500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15087, '59950195', '2003', '15087', '20031212', '20031209', '', 'Anak I', 'RS Mitra Keluarga', '811199', 256900, 216650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15088, '62970462', '2003', '15088', '20031212', '20031210', '', 'Pegawai', 'RS Mintohardjo', '811199', 146000, 146000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15089, '70950214', '2003', '15089', '20031212', '20031209', '', 'Anak I', 'Apotik Raya', '811199', 137600, 137600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15090, '65920048', '2003', '15090', '20031212', '20031208', '', 'Isteri', 'Klinik Reni Jaya', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15091, '50950207', '2003', '15091', '20031212', '20031206', 'Ira Maya S', 'Anak III', 'Apotik Tiara', '811199', 182400, 182400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15092, '69000692', '2003', '15092', '20031212', '20031204', 'Kartika', 'Anak II', 'Apotik Djatinegara', '811199', 207400, 207400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15093, '69950209', '2003', '15093', '20031212', '20031209', 'Neneng Lutvia', 'Isteri', 'RS Mitra Int''l', '811199', 181700, 181700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15094, '61920069', '2003', '15094', '20031212', '20031209', '', 'Pegawai', 'drg Juliati', '811199', 514100, 514100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15095, '61920045', '2003', '15095', '20031212', '20031122', 'Sutirma J.Rosalina', 'Isteri', 'Apotik Gas Alam', '811199', 243200, 243200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15096, '69000669', '2003', '15096', '20031212', '20031206', '', 'Anak I', 'Apotik Kalibata', '811199', 269300, 269300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15097, '71950367', '2003', '15097', '20031212', '20031206', 'Sintong N. M.', 'Anak I', 'Apotik Taman Solo', '811199', 591500, 591500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15098, '57980555', '2003', '15098', '20031212', '20031202', 'Enggar Parastri', 'Anak III', 'dr Endang P', '811199', 1292150, 1043900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15099, '63990637', '2003', '15099', '20031212', '20031210', 'Abdul Hadi', 'Anak III', 'Apotik Victory', '811199', 785400, 719900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15100, '64930120', '2003', '15100', '20031212', '20031208', '', 'Anak I', 'RSPI', '811199', 2454200, 1697052, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15101, '71980551', '2003', '15101', '20031212', '20031205', '', 'Pegawai', 'drg Endang Ekowati', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15102, '69000848', '2003', '15102', '20031212', '20031206', 'Zukhrufika', 'Anak I', 'RS Al Islam', '811199', 159400, 159400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15103, '69000848', '2003', '15103', '20031212', '20031208', '', 'Pegawai', 'Apotik Assyifa 2', '811199', 785000, 785000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15104, '72980510', '2003', '15104', '20031216', '20031215', 'M. Nur Muhriza', 'Anak I', 'RS MH Thamrin', '811199', 453707, 453707, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15105, '71970456', '2003', '15105', '20031216', '20031210', '', 'Pegawai', 'dr Bambang/Century', '811199', 465200, 465200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15106, '69960401', '2003', '15106', '20031216', '20031215', 'Rafiqi Luthfan', 'Anak I', 'RS Medika Galaxi', '811199', 270200, 270200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15107, '65930147', '2003', '15107', '20031216', '20031215', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 359000, 359000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15108, '77011017', '2003', '15108', '20031216', '20031212', '', 'Pegawai', 'dr Rani Novian', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15109, '61950175', '2003', '15109', '20031216', '20031211', 'Farah Ramadhani', 'Anak II', 'dr Alan R T', '811199', 188300, 188300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15110, '68970466', '2003', '15110', '20031216', '20031213', '', 'Pegawai', 'RS Hermina', '811199', 176300, 176300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15111, '72950205', '2003', '15111', '20031216', '20031213', 'Rizqullah Ishaq', 'Anak I', 'RS TK', '811199', 123600, 123600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15112, '69950162', '2003', '15112', '20031216', '20031213', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15113, '62920050', '2003', '15113', '20031216', '20031213', '', 'Pegawai', 'RSPAD/Paviliyun Kartika', '811199', 1800000, 1800000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15114, '66920073', '2003', '15114', '20031216', '20031129', '', 'Pegawai', 'RSIA Mary', '811199', 121100, 121100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15115, '73032086', '2003', '15115', '20031216', '20031213', '', 'Pegawai', 'drg Indro/Aptk Tiara', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15116, '66990584', '2003', '15116', '20031222', '20031222', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 228900, 228900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15117, '64950185', '2003', '15117', '20031222', '20031121', '', 'Pegawai', 'RS Puri Cinere', '811199', 176900, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15118, '64950185', '2003', '15118', '20031222', '20031216', '', 'Anak I', 'RS Puri Cinere', '811199', 875900, 875900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15119, '17601989', '2003', '15119', '20031222', '20031218', '', 'Pegawai', 'RB Alvernia', '811199', 218200, 218200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15120, '70031507', '2003', '15120', '20031222', '20031217', '', 'Anak I', 'Apotik Restu Bunda', '811199', 147400, 147400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15121, '65920033', '2003', '15121', '20031222', '20031219', 'Eti Karyati', 'Isteri', 'dr Azwir Z', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15122, '61930128', '2003', '15122', '20031222', '20031218', 'R. Raditya M.L', 'Anak I', 'dr Marini', '811199', 71100, 71100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15123, '57910014', '2003', '15123', '20031222', '20031215', '', 'Pegawai', 'dr Yacob', '811199', 98000, 98000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15124, '76960435', '2003', '15124', '20031222', '20031219', '', 'Isteri', 'RS Siloam Gleneagles', '811199', 266948, 251206, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15125, '71980540', '2003', '15125', '20031222', '20031215', 'Indah Kusharyanti', 'Isteri', 'dr Karnalis', '811199', 390000, 200900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15126, '72960390', '2003', '15126', '20031222', '20031212', '', 'Pegawai', 'Klinik Medexs', '811199', 121000, 121000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15127, '61950175', '2003', '15127', '20031222', '20031218', 'Sri Wahyuni', 'Isteri', 'drg Chyntia Wati', '811199', 109800, 109800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15128, '76980517', '2003', '15128', '20031222', '20031219', '', 'Pegawai', 'Prima Husada', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15129, '64930110', '2003', '15129', '20031222', '20031208', '', 'Anak I', 'RSIB', '811199', 264158, 264158, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15130, '72000772', '2003', '15130', '20031222', '20031216', '', 'Pegawai', 'JMC', '811199', 32300, 32300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15131, '71960398', '2003', '15131', '20031222', '20031215', '', 'Anak I', 'RS Graha M', '811199', 608700, 149600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15132, '65960408', '2003', '15132', '20031222', '20031216', 'Rosmaini', 'Isteri', 'dr Meri', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15133, '68920053', '2003', '15133', '20031222', '20031214', 'Janti Susanti', 'Isteri', 'Medika Sempurna', '811199', 196000, 196000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15134, '63950202', '2003', '15134', '20031222', '20031210', 'Habapusilah', 'Isteri', 'Bidan Talena', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15135, '78021264', '2003', '15135', '20031222', '20031213', '', 'Pegawai', 'Citra Ansana', '811199', 130000, 130000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15136, '68000760', '2003', '15136', '20031222', '20031206', 'Athifah Hanani', 'Anak II', 'dr M Suhandi', '811199', 83000, 83000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15137, '63920052', '2003', '15137', '20031222', '20031215', '', 'Pegawai', 'RS Siaga Raya', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15138, '67960411', '2003', '15138', '20031222', '20031208', '', 'Pegawai', 'dr Hj Umi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15139, '62950197', '2003', '15139', '20031222', '20031027', 'M.Oktavian Hutama', 'Anak I', 'RS Bethesda', '811199', 512500, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15140, '16801865', '2003', '15140', '20031222', '20031220', '', 'Anak I', 'RS Mary', '811199', 170200, 170200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15141, '69000687', '2003', '15141', '20031222', '20031216', '', 'Pegawai', 'RS Medistra', '811199', 424350, 424350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15142, '63910010', '2003', '15142', '20031222', '20031213', 'Erna Deliana', 'Isteri', 'Klinik Arta sari', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15143, '64970465', '2003', '15143', '20031222', '20031216', '', 'Pegawai', 'drg Sony', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15144, '58000840', '2003', '15144', '20031222', '20031216', '', 'Pegawai', 'dr M Santoso', '811199', 253000, 253000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15145, '78000693', '2003', '15145', '20031222', '20031207', '', 'Pegawai', 'Klinik Graha', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15146, '78031489', '2003', '15146', '20031222', '20031215', '', 'Pegawai', 'Aptk Sahabat', '811199', 127000, 66000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15147, '77021068', '2003', '15147', '20031222', '20031218', '', 'Pegawai', 'dr Komariah', '811199', 179000, 179000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15148, '77021068', '2003', '15148', '20031222', '20031219', '', 'Pegawai', 'dr Inge', '811199', 350000, 350000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15149, '81042279', '2003', '15149', '20031222', '20031211', '', 'Pegawai', 'Klinik Mampang Sari', '811199', 32000, 32000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15150, '64930120', '2003', '15150', '20031222', '20031211', '', 'Anak I', 'Klinik Permata Cibubur', '811199', 785000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15151, '66000735', '2003', '15151', '20031230', '20031222', 'Wizhayati', 'Isteri', 'dr Syarifuddin', '811199', 207600, 207600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15152, '76980539', '2003', '15152', '20031230', '20031218', '', 'Pegawai', 'Klinik Medista', '811199', 39500, 39500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15153, '58021106', '2003', '15153', '20031230', '20031220', 'Ica', 'Anak II', 'dr Eko', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15154, '63950190', '2003', '15154', '20031230', '20031225', 'Grace Agustina', 'Isteri', 'RS Permata Cibubur', '811199', 1533500, 1533500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15155, '56920028', '2003', '15155', '20031230', '20031220', 'Maulina Dewi Wanodya', 'Anak I', 'RS Haji Jakarta', '811199', 457300, 457300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15156, '79010894', '2003', '15156', '20031230', '20031209', '', 'Pegawai', 'Apotik Ganesha', '811199', 156200, 156200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15157, '78990600', '2003', '15157', '20031230', '20031223', '', 'Pegawai', 'RS Medistra', '811199', 295000, 295000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15158, '70010898', '2003', '15158', '20031230', '20031222', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 194600, 194600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15159, '60970474', '2003', '15159', '20031230', '20031220', '', 'Pegawai', 'drg Gunawan', '811199', 650400, 596400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15160, '65920033', '2003', '15160', '20031230', '20031223', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 164300, 164300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15161, '73950170', '2003', '15161', '20031230', '20031129', '', 'Anak I', 'RS Kartika Husada', '811199', 61000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15162, '17501895', '2003', '15162', '20031230', '20031221', '', 'Isteri', 'Klinik Mediaka Sampurna', '811199', 295700, 295700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15163, '66950220', '2003', '15163', '20031230', '20031222', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 255300, 255300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15164, '76960435', '2003', '15164', '20031230', '20031219', '', 'Isteri', 'drg Utami Pangestu', '811199', 60000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15165, '77042273', '2003', '15165', '20031230', '20031223', '', 'Anak I', 'dr Ali Umar', '811199', 99000, 99000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15166, '70950216', '2003', '15166', '20031230', '20031222', '', 'Pegawai', 'RS Santo Borromeus', '811199', 560000, 560000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15167, '76010869', '2003', '15167', '20031230', '20031213', '', 'Pegawai', 'Klinik Marnda', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15168, '76010936', '2003', '15168', '20031230', '20031212', '', 'Pegawai', 'drg Sylvia', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15169, '69970477', '2003', '15169', '20031230', '20031223', '', 'Pegawai', 'drg Gina', '811199', 250000, 239866, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15170, '70000684', '2003', '15170', '20031230', '20031201', '', 'Anak I', 'dr Mushlih', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15171, '71990647', '2003', '15171', '20031230', '20031219', '', 'Anak I', 'RS HR Kita', '811199', 288000, 288000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15172, '70950370', '2003', '15172', '20031230', '20031204', '', 'Pegawai', 'dr Wim T Pangemanan', '811199', 122100, 122100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15173, '65940151', '2003', '15173', '20031230', '20031211', '', 'Pegawai', 'dr Hermansyah', '811199', 285400, 285400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15174, '63970478', '2003', '15174', '20031230', '20031216', '', 'Pegawai', 'drg Hj Indrawati', '811199', 310000, 309000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15175, '62920044', '2003', '15175', '20031230', '20031217', '', 'Anak I', 'RS Mitra Keluarga', '811199', 160500, 160500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15176, '69950222', '2003', '15176', '20031230', '20040105', '', 'Anak I', 'Aptk Gitamara', '811199', 169000, 169000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15177, '73021088', '2003', '15177', '20031230', '20031217', '', 'Pegawai', 'JMC', '811199', 75700, 75700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15178, '65950169', '2003', '15178', '20031230', '20031031', '', 'Anak I', 'Aptk Melawai', '811199', 216200, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15179, '65950169', '2003', '15179', '20031230', '20031218', '', 'Anak II', 'dr H Moeslichan', '811199', 289500, 289500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15180, '59021080', '2003', '15180', '20031230', '20031220', '', 'Anak I', 'Aptk Trinitas', '811199', 335000, 335000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15181, '72000696', '2003', '15181', '20031230', '20031221', '', 'Anak I', 'Aptk Rini', '811199', 126000, 126000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15182, '65960408', '2003', '15182', '20031230', '20031222', '', 'Pegawai', 'dr Dave', '811199', 905400, 905400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15183, '62920060', '2003', '15183', '20031230', '20031213', '', 'Anak II', 'dr Sudigdo', '811199', 425000, 425000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15184, '66970473', '2003', '15184', '20031230', '20031222', '', 'Anak I', 'RS Gandarria', '811199', 257200, 257200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15185, '69950222', '2003', '15185', '20031230', '20031222', '', 'Anak I', 'dr Sofyan', '811199', 251500, 251500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15186, '75010905', '2003', '15186', '20031230', '20031217', '', 'Pegawai', 'Ladokgi', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15187, '79010894', '2003', '15187', '20031230', '20031124', '', 'Pegawai', 'Aptk Ganesha', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15188, '63970464', '2003', '15188', '20031230', '20031220', '', 'Pegawai', 'RS Patria IKKT', '811199', 68000, 68000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15189, '74990649', '2003', '15189', '20031230', '20031213', '', 'Pegawai', 'dr Farid', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15190, '17201001', '2003', '15190', '20031230', '20031222', '', 'Anak I', 'RS Puri Cinere', '811199', 242400, 242400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15191, '51980512', '2003', '15191', '20031230', '20031202', '', 'Pegawai', 'Klinik Aliz', '811199', 502300, 415300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15192, '65960416', '2003', '15192', '20031230', '20031223', '', 'Anak I', 'Klinik Medika', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15193, '65920033', '2003', '15193', '20031230', '20031226', 'Eti Karyati', 'Isteri', '', '811199', 0, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15194, '72000763', '2003', '15194', '20031230', '20031219', '', 'Pegawai', 'Klinik JMC', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15195, '70960414', '2003', '15195', '20031230', '20031205', '', 'Pegawai', 'drg Gunawan', '811199', 1474400, 1461579, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15196, '63970483', '2003', '15196', '20031230', '20031113', 'Eli', 'Isteri', 'RS Azra', '811199', 698800, 535300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15197, '75020004', '2003', '15197', '20031230', '20031213', '', 'Isteri', 'dr Gunawan', '811199', 224300, 224300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15198, '71011018', '2003', '15198', '20031230', '20031220', '', 'Isteri', 'RS Hermina', '811199', 211300, 211300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15199, '74021263', '2003', '15199', '20031230', '20031128', '', 'Anak I', 'Aptk Jati Makmur', '811199', 90000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15200, '60950189', '2003', '15200', '20031230', '20031224', 'Riska Oktaviana', 'Anak III', 'AptkKimia Farma', '811199', 423700, 423700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15201, '70010898', '2003', '15201', '20031230', '20031229', '', 'Isteri', 'dr Karyadi', '811199', 132500, 132500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15202, '70031507', '2003', '15202', '20031230', '20031224', '', 'Isteri', 'Apotik Restu Bunda', '811199', 287100, 287100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15203, '77000678', '2003', '15203', '20031230', '20031227', '', 'Pegawai', 'dr Budiharjo', '811199', 124900, 124900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15204, '67920054', '2003', '15204', '20031230', '20031223', 'Irma Rochima Puspita', 'Isteri', 'RS Medistra', '811199', 1297700, 1297700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15205, '57910014', '2003', '15205', '20031230', '20031212', 'Suwarni', 'Isteri', 'dr Yacob', '811199', 387000, 387000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15206, '70000717', '2003', '15206', '20031230', '20031220', '', 'Pegawai', 'Jakarta Eye Centre', '811199', 1760500, 1760500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15207, '68970466', '2003', '15207', '20031230', '20031227', '', 'Pegawai', 'RS Hermina', '811199', 900410, 900410, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15208, '77000672', '2003', '15208', '20031230', '20031224', '', 'Pegawai', 'RS Siloam', '811199', 668523, 668523, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15209, '72950363', '2003', '15209', '20031230', '20031224', '', 'Pegawai', 'Kuningan Medikal', '811199', 348400, 268000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15210, '70950183', '2003', '15210', '20031222', '20031204', '', 'Pegawai', 'RSIA Cibubur', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15211, '79010904', '2003', '15211', '20031222', '20031217', '', 'Pegawai', 'JMC', '811199', 88000, 88000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15212, '66920026', '2003', '15212', '20031222', '20031217', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 95203, 95203, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15213, '70970480', '2003', '15213', '20031222', '20031216', '', 'Pegawai', 'drg Gina', '811199', 925000, 925000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15214, '50950207', '2003', '15214', '20031222', '20031220', 'Ira Maya S', 'Anak III', 'Apotik Tiara', '811199', 327500, 327500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15215, '68920053', '2003', '15215', '20031222', '20031217', '', 'Anak III', 'RS Hermina', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15216, '63000711', '2003', '15216', '20031222', '20031215', 'M.Farras Hanif', 'Anak II', 'Sri Rochani', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15217, '65970482', '2003', '15217', '20031222', '20031217', '', 'Pegawai', 'dr Bambang', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15218, '16701946', '2003', '15218', '20031222', '20031213', '', 'Anak I', 'drg Ibnu', '811199', 1022700, 1022700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15219, '71970456', '2003', '15219', '20031222', '20031220', '', 'Pegawai', 'RS Islam Jakarta', '811199', 288500, 288500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15220, '67940157', '2003', '15220', '20031222', '20031121', '', 'Pegawai', 'RS Medistra', '811199', 518300, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15221, '72980510', '2003', '15221', '20031222', '20031217', 'M. Nur Muhriza', 'Anak I', 'RS Hermina', '811199', 1480500, 1480500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15222, '61930128', '2003', '15222', '20031222', '20031219', 'Indra Aristyanto', 'Anak II', 'dr Marini', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15223, '72980510', '2003', '15223', '20031222', '20031220', '', 'Isteri', 'RS MH Thamrin', '811199', 210700, 210700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15224, '67950203', '2003', '15224', '20031222', '20031219', '', 'Pegawai', 'dr Dery', '811199', 1862500, 1862500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15225, '81031469', '2003', '15225', '20031222', '20031220', '', 'Pegawai', 'drg Bastian', '811199', 1520000, 1520000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15226, '51030006', '2003', '15226', '20031222', '20031220', '', 'Pegawai', 'RS Medistra', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15227, '65920048', '2003', '15227', '20031222', '20031218', '', 'Isteri', 'Klinik Reni Jaya', '811199', 225000, 165000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15228, '62910013', '2003', '15228', '20031222', '20031218', 'Nur Hasanah', 'Isteri', 'dr Azwir', '811199', 366500, 366500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15229, '71950212', '2003', '15229', '20031222', '20031219', '', 'Pegawai', 'dr Nugroho', '811199', 115000, 113250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15230, '69950222', '2003', '15230', '20031222', '20031217', '', 'Anak I', 'dr Sofyan', '811199', 201000, 201000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15231, '70950231', '2003', '15231', '20031230', '20031226', '', 'Pegawai', 'RS Cipto Mangunkusuma', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15232, '68950371', '2003', '15232', '20031230', '20031226', '', 'Anak II', 'RSB Asih', '811199', 380000, 380000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15233, '60980529', '2003', '15233', '20031230', '20031225', 'Ani Novia', 'Anak I', 'Klinik Pertukangan', '811199', 237000, 237000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15234, '69940161', '2003', '15234', '20031230', '20031226', 'Idah Maimun Hafidah', 'Isteri', 'dr Jubianto', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15235, '69940161', '2003', '15235', '20031230', '20031226', 'Idah Maimun Hafidah', 'Isteri', 'Aptk MMC', '811199', 247900, 247900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15236, '65021085', '2003', '15236', '20031230', '20031221', '', 'Pegawai', 'dr Radwin S', '811199', 35000, 35000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15237, '68920057', '2003', '15237', '20031230', '20031218', '', 'Isteri', 'RS Puri Cinere', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15238, '60920041', '2003', '15238', '20031230', '20031223', 'Danapati Suprakasa', 'Anak III', 'dr Nana Karnaen', '811199', 1006700, 1006700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15239, '60980529', '2003', '15239', '20031230', '20031128', 'Yuli Martina', 'Isteri', 'RS MH Thamrin', '811199', 129000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15240, '17101947', '2003', '15240', '20031230', '20031214', '', 'Pegawai', 'Aptk Aji Waras', '811199', 329000, 329000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15241, '54099650', '2003', '15241', '20031230', '20031220', '', 'Pegawai', 'Lab Prodia', '811199', 291500, 291500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15242, '71000750', '2003', '15242', '20031230', '20031222', '', 'Pegawai', 'Klinik Graha Medika', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15243, '17702001', '2003', '15243', '20031230', '20031222', '', 'Pegawai', 'JMC', '811199', 142300, 142300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15244, '80021417', '2003', '15244', '20031230', '20031217', '', 'Pegawai', 'Yay Kanker Indonesia', '811199', 193300, 193300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15245, '69960413', '2003', '15245', '20031230', '20031212', '', 'Pegawai', 'dr Yustin', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15246, '69960396', '2003', '15246', '20031230', '20031212', '', 'Anak I', 'RS Puri Medika', '811199', 63000, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15247, '61970468', '2003', '15247', '20031230', '20031222', '', 'Pegawai', 'RS Har Kita', '811199', 254200, 254200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15248, '76980517', '2003', '15248', '20031230', '20031230', 'Fathya A.W.', 'Anak I', 'RS Puri Cinere', '811199', 158400, 158400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15249, '53920027', '2003', '15249', '20031230', '20031213', 'Amalia Retno Purwanti', 'Isteri', 'RS Harum', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15250, '66920029', '2003', '15250', '20031230', '20031216', 'Abyan Habib Yuntoharjo', 'Anak III', 'dr Marwanto', '811199', 493500, 493500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15251, '66920043', '2003', '15251', '20031230', '20031208', 'Fathonah', 'Isteri', 'Denta Medika', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15252, '67960411', '2003', '15252', '20031230', '20031227', 'Endang Kuspringati S', 'Isteri', 'RS Bhineka', '811199', 363700, 363700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15253, '61000731', '2003', '15253', '20031230', '20031225', 'Rio Avicenna Syamil', 'Anak II', 'Poliklinik Kimia Farma', '811199', 324500, 324500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15254, '69950162', '2003', '15254', '20031230', '20031229', 'Sri Hardiastuti', 'Isteri', 'dr Bram', '811199', 195800, 195800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15255, '66000735', '2003', '15255', '20031230', '20031224', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 236700, 236700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15256, '27400906', '2003', '15256', '20031230', '20031226', '', 'Anak I', 'dr H Zainal', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15257, '69960396', '2003', '15257', '20031230', '20031226', '', 'Anak I', 'RS Puri Medika', '811199', 35500, 35500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15258, '77011016', '2003', '15258', '20031230', '20031226', '', 'Pegawai', 'dr Ranti Novian', '811199', 425000, 425000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15259, '76021048', '2003', '15259', '20031230', '20031229', '', 'Pegawai', 'JMC', '811199', 427000, 427000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15260, '77000793', '2003', '15260', '20031230', '20031224', '', 'Pegawai', 'Yay Sugra Husad', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15261, '76011015', '2003', '15261', '20031230', '20031224', '', 'Pegawai', 'RSPP', '811199', 288000, 288000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15262, '65970482', '2003', '15262', '20031230', '20031226', '', 'Pegawai', 'dr Bambang', '811199', 53000, 53000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15263, '62920017', '2003', '15263', '20031230', '20031226', '', 'Anak I', 'dr Welinton', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15264, '66920106', '2003', '15264', '20031230', '20031228', '', 'Anak I', 'BPU Yadi', '811199', 333000, 333000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15265, '67920049', '2003', '15265', '20031230', '20031226', '', 'Anak I', 'dr M Fuad', '811199', 274000, 274000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15266, '73990662', '2003', '15266', '20031230', '20031227', '', 'Pegawai', 'RS MH Thamrin', '811199', 183500, 183500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15267, '70960393', '2003', '15267', '20031230', '20031229', '', 'Pegawai', 'drg Agus', '811199', 850000, 850000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15268, '96080022', '2003', '15268', '20031230', '20031212', '', 'Pegawai', 'dr Bambang', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15269, '70950370', '2003', '15269', '20031230', '20031229', '', 'Pegawai', 'RSB YPK', '811199', 234000, 234000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15270, '70990648', '2003', '15270', '20031230', '20031228', 'Heni Nafarin', 'Isteri', 'drg R Wasis', '811199', 187500, 187500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15271, '62920050', '2003', '15271', '20031230', '20031229', '', 'Pegawai', 'RS Pavilyun', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15272, '68000709', '2003', '15272', '20031230', '20031213', '', 'Isteri', 'RS Hermina', '811199', 276050, 276050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15273, '79031776', '2003', '15273', '20031230', '20031126', '', 'Pegawai', 'RSUP Hasan Sadikin', '811199', 149700, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15274, '51980512', '2003', '15274', '20031230', '20031215', 'Dra.Budhiarti', 'Isteri', 'Poliklinik RSCM', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15275, '80021121', '2003', '15275', '20031230', '20031201', '', 'Pegawai', 'RS Muhammadiyah', '811199', 60100, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15276, '79031748', '2003', '15276', '20031230', '20031113', '', 'Pegawai', 'Klinik Al-Fauzan', '811199', 293000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15277, '74021118', '2003', '15277', '20031230', '20031212', '', 'Pegawai', 'drg Evalin', '811199', 275000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15278, '79031748', '2003', '15278', '20031230', '20031217', '', 'Isteri', 'Klinik Al-Fauza', '811199', 111000, 111000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15279, '16801896', '2003', '15279', '20040106', '20031213', '', 'Anak I', 'Klinik Pesona', '811199', 143000, 143000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15280, '76970457', '2003', '15280', '20040106', '20031226', 'Tri Silawati', 'Isteri', 'drg Tri Soeprihatin', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15281, '67930149', '2003', '15281', '20040106', '20031230', '', 'Pegawai', 'RS Medistra', '811199', 603000, 603000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15282, '67920089', '2003', '15282', '20040106', '20031215', '', 'Pegawai', 'drg Abdullah', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15283, '74031438', '2003', '15283', '20040106', '20031213', '', 'Pegawai', 'RS Al-Islam Bdg', '811199', 249500, 187500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15284, '70950370', '2003', '15284', '20040106', '20040102', '', 'Pegawai', 'Aptk Titi Murni', '811199', 264700, 264700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15285, '70990648', '2003', '15285', '20040106', '20031231', 'Faizah Rahmah Izzatudini', 'Anak I', 'dr R Wasis', '811199', 591800, 591800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15286, '72950205', '2003', '15286', '20040106', '20040104', 'Rony Romelah', 'Isteri', 'RS TK', '811199', 59800, 59800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15287, '69000669', '2003', '15287', '20040106', '20031215', '', 'Anak I', 'dr Ismu Suwelo', '811199', 283000, 283000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15288, '70000717', '2003', '15288', '20040106', '20031227', '', 'Pegawai', 'Jakarta Eye Centre', '811199', 131683, 131683, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15289, '65970482', '2003', '15289', '20040106', '20040101', '', 'Pegawai', 'dr Bambang', '811199', 349800, 349800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15290, '61920040', '2004', '15290', '20040106', '20040102', '', 'Pegawai', 'RS Pusat Pertamina', '811199', 117500, 117500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15291, '71031758', '2003', '15291', '20040106', '20031231', '', 'Pegawai', 'Apotik Taman Solo', '811199', 356000, 356000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15292, '71940159', '2004', '15292', '20040106', '20031215', '', 'Pegawai', 'RSPI', '811199', 300288, 300288, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15293, '77021429', '2003', '15293', '20040106', '20031230', '', 'Pegawai', 'JMC', '811199', 127400, 127400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15294, '66920026', '2003', '15294', '20040106', '20031229', 'Ngakan Made Prakasa Judha', 'Anak II', 'RS Int,l Bintaro', '811199', 309500, 309500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15295, '69950162', '2003', '15295', '20040106', '20040103', 'Sri Hardiastuti', 'Isteri', 'dr Bram', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15296, '67950172', '2003', '15296', '20040106', '20040104', '', 'Pegawai', 'dr Lelyana', '811199', 114000, 114000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15297, '72980510', '2003', '15297', '20040106', '20040103', 'M. Nur Muhriza', 'Anak I', 'RS MH Thamrin', '811199', 275300, 275300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15298, '17699665', '2003', '15298', '20040106', '20031230', '', 'Pegawai', 'RS Medistra', '811199', 385000, 385000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15299, '82020001', '2003', '15299', '20040106', '20040103', '', 'Pegawai', 'Klinik Syarif H', '811199', 164700, 164700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15300, '17702001', '2003', '15300', '20040106', '20040103', '', 'Pegawai', 'JMC', '811199', 88400, 88400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15301, '67950203', '2004', '15301', '20040106', '20040102', 'Rifqi Nabil Muhammad', 'Anak I', 'Aptk Cirendeu', '811199', 1362500, 1362500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15302, '75020001', '2003', '15302', '20040106', '20031222', '', 'Pegawai', 'Rs Siaga Raya', '811199', 447300, 447300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15303, '74990649', '2003', '15303', '20040106', '20031230', '', 'Pegawai', 'dr Tetty A Usman', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15304, '74021263', '2003', '15304', '20040106', '20031227', '', 'Anak I', 'Aptk Jati Makmur', '811199', 228000, 228000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15305, '68000752', '2003', '15305', '20040106', '20040103', 'Harits Sudarsono M', 'Anak I', 'Praktek Aji Waras', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15306, '75020004', '2003', '15306', '20040106', '20031229', '', 'Pegawai', 'Aptk Aji Waras', '811199', 108900, 108900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15307, '66010859', '2003', '15307', '20040106', '20031230', 'Pratiti', 'Isteri', 'RS Inter,l Bintaro', '811199', 1158506, 1158506, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15308, '69950209', '2003', '15308', '20040106', '20040103', '', 'Pegawai', 'RS Mitra Int,l', '811199', 545700, 545700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15309, '64000846', '2003', '15309', '20040106', '20031230', '', 'Pegawai', 'Poliklinik Kimia Firma', '811199', 92600, 92600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15310, '17101947', '2003', '15310', '20040106', '20031208', '', 'Pegawai', 'Aptk Aji Waras', '811199', 255150, 255150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15311, '75021078', '2003', '15311', '20040106', '20040102', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15312, '75021078', '2003', '15312', '20040106', '20031229', 'Yulia N.', 'Isteri', 'BKR MKGR', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15313, '78990600', '2003', '15313', '20040106', '20031226', '', 'Pegawai', 'RSIB', '811199', 533000, 533000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15314, '70920034', '2003', '15314', '20040106', '20040102', '', 'Pegawai', 'RS Mitra', '811199', 94400, 94400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15315, '57920024', '2003', '15315', '20040106', '20040105', '', 'Pegawai', 'RS Harapan', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15316, '74950226', '2003', '15316', '20040106', '20040102', '', 'Pegawai', 'dr K Gunawan', '811199', 97500, 97500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15317, '66970473', '2003', '15317', '20040106', '20040104', '', 'Anak I', 'Yay Bina Sehat', '811199', 114000, 114000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15318, '71970456', '2003', '15318', '20040106', '20031221', '', 'Pegawai', 'drg Nur Erizona', '811199', 530000, 530000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15319, '69021086', '2003', '15319', '20040106', '20031229', '', 'Anak II', 'dr Handarmi', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15320, '76980527', '2003', '15320', '20040106', '20031227', '', 'Pegawai', 'dr Meicke', '811199', 272000, 272000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15321, '50950207', '2003', '15321', '20040106', '20031229', 'Sapariyah', 'Isteri', 'RSUD Kodja', '811199', 249700, 249700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15322, '70950204', '2003', '15322', '20040106', '20040107', 'Rustini', 'Isteri', 'Bidan Sukamti', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15323, '74950356', '2003', '15323', '20040106', '20040106', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 238500, 238500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15324, '50950207', '2003', '15324', '20040106', '20031229', 'Sapariyah', 'Isteri', 'RSUD Kodja', '811199', 249700, 249700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15325, '77021429', '2003', '15325', '20040106', '20031230', '', 'Pegawai', 'RS Harapan Bunda', '811199', 722500, 722500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15326, '69940161', '2003', '15326', '20040106', '20031230', 'Kalista Adjani', 'Anak II', 'dr Tin ST', '811199', 174900, 174900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15327, '79010894', '2003', '15327', '20040106', '20031217', '', 'Pegawai', 'Aptk Kasih Ibu', '811199', 223000, 223000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15328, '71980551', '2003', '15328', '20040106', '20031229', '', 'Pegawai', 'drg Endang Ekowati', '811199', 300000, 285500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15329, '67950193', '2003', '15329', '20040106', '20031222', '', 'Pegawai', 'RS Cikini', '811199', 228600, 228600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15330, '72000763', '2003', '15330', '20040106', '20031230', '', 'Pegawai', 'Klinik JMC', '811199', 105500, 105500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15331, '71000727', '2003', '15331', '20040106', '20031229', '', 'Pegawai', 'dr Warsito', '811199', 273300, 273300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15332, '58021106', '2003', '15332', '20040106', '20031226', 'P. Bidadari', 'Isteri', 'dr Wijoyo', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15333, '73021143', '2003', '15333', '20040106', '20031229', '', 'Pegawai', 'Balai Penbatan Bhakti Pertiwi', '811199', 363000, 363000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15334, '75980563', '2003', '15334', '20040106', '20031223', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 137670, 107625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15335, '74000792', '2003', '15335', '20040106', '20031224', '', 'Pegawai', 'dr Halim', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15336, '79010894', '2003', '15336', '20040106', '20031223', '', 'Pegawai', 'Aptk Kasih Ibu', '811199', 141500, 141500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15337, '70980570', '2003', '15337', '20040106', '20031227', '', 'Pegawai', 'RS Har.Bunda', '811199', 458700, 458700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15338, '68920053', '2003', '15338', '20040106', '20031229', '', 'Anak III', 'Klinik Medika Sampurna', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15339, '65980552', '2003', '15339', '20040106', '20031226', 'Fahrizal Imam R', 'Anak III', 'dr Soekarno', '811199', 148900, 148900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15340, '70950370', '2003', '15340', '20040106', '20031230', '', 'Pegawai', 'dr Lukito Husodo', '811199', 497000, 497000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15341, '67950172', '2003', '15341', '20040106', '20031117', '', 'Pegawai', 'dr Andreas', '811199', 467300, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15342, '69000687', '2003', '15342', '20040106', '20031219', '', 'Pegawai', 'drg Irene', '811199', 135000, 135000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15343, '58950188', '2003', '15343', '20040106', '20031230', '', 'Pegawai', 'dr Agung P', '811199', 721900, 721900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15344, '65920018', '2003', '15344', '20040106', '20031230', 'Aslha', 'Anak III', 'dr Rahmat', '811199', 579200, 579200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15345, '70980570', '2003', '15345', '20040106', '20031231', '', 'Pegawai', 'RS Haji Jakarta', '811199', 56400, 56400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15346, '59920056', '2003', '15346', '20040106', '20031231', '', 'Pegawai', 'RS Islam Jakarta', '811199', 384400, 384400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15347, '69950178', '2003', '15347', '20040106', '20040102', '', 'Pegawai', 'RS Medistra', '811199', 303500, 303500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15348, '70010882', '2003', '15348', '20040106', '20031221', '', 'Isteri', 'dr H Endang', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15349, '60960384', '2004', '15349', '20040106', '20031214', 'Wayan Martini', 'Isteri', 'dr Vanny', '811199', 397655, 397655, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15350, '71980551', '2004', '15350', '20040106', '20031229', '', 'Pegawai', 'drg Endang', '811199', 14500, 14500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15351, '68930133', '2004', '15351', '20040106', '20040105', '', 'Pegawai', 'dr Tjut Nurul', '811199', 615500, 615500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15352, '68950221', '2004', '15352', '20040106', '20040104', '', 'Pegawai', 'dr H Tjetjep', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15353, '78990600', '2004', '15353', '20040106', '20031231', '', 'Pegawai', 'dr H Susetyo', '811199', 191210, 191210, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15354, '71950200', '2004', '15354', '20040106', '20031223', '', 'Anak I', 'dr Eric', '811199', 457811, 457811, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15355, '17101947', '2004', '15355', '20040106', '20031208', '', 'Pegawai', 'Aptk Aji Waras', '811199', 29850, 29850, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15356, '61970468', '2004', '15356', '20040106', '20040103', '', 'Anak I', 'RS Budi Jaya', '811199', 267000, 267000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15357, '74970450', '2004', '15357', '20040106', '20031231', '', 'Pegawai', 'RSIA Hermina', '811199', 163900, 163900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15358, '68000752', '2004', '15358', '20040106', '20040103', 'Harits Sudarsono M', 'Anak I', 'Aptk Aji Waras', '811199', 232700, 232700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15359, '68960388', '2004', '15359', '20040106', '20040102', 'Indriani', 'Isteri', 'RS Medistra', '811199', 587198, 587198, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15360, '70970487', '2003', '15360', '20040106', '20031231', '', 'Pegawai', 'RS Saint Corulus', '811199', 174000, 174000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15361, '64950219', '2003', '15361', '20040112', '20031231', '', 'Pegawai', 'drg Dani Amelia', '811199', 1200000, 1200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15362, '75980569', '2004', '15362', '20040112', '20040109', '', 'Pegawai', 'dr Nugroho', '811199', 215240, 215240, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15363, '70940155', '2004', '15363', '20040112', '20040110', 'Astri FW.', 'Anak I', 'RS Hermina', '811199', 190800, 190800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15364, '72950363', '2004', '15364', '20040112', '20040107', '', 'Pegawai', 'Kuningan Medical', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15365, '69960401', '2003', '15365', '20040112', '20040102', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul', '811199', 196600, 196600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15366, '71950212', '2004', '15366', '20040112', '20040112', '', 'Pegawai', 'RS Medistra', '811199', 621700, 621700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15367, '70930144', '2004', '15367', '20040112', '20040107', '', '', 'RS Pondok Indah', '811199', 221000, 221000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15368, '77021138', '2004', '15368', '20040112', '20040101', '', 'Pegawai', 'Klinik Remedika', '811199', 159000, 159000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15369, '79010894', '2003', '15369', '20040112', '20031230', '', 'Pegawai', 'Aptk Kasih Ibu', '811199', 285800, 285800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15370, '68950221', '2004', '15370', '20040112', '20040110', 'Kevin Tria Nugroho', 'Anak I', 'RS Hermina', '811199', 347860, 347860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15371, '69970477', '2004', '15371', '20040112', '20040110', '', 'Anak I', 'RS Mary', '811199', 90500, 90500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15372, '72950205', '2003', '15372', '20040112', '20040110', 'Rizqullah Ishaq', 'Anak I', 'RS TK', '811199', 119900, 119900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15373, '69950162', '2003', '15373', '20040112', '20040110', 'Sri Hardiastuti', 'Isteri', 'dr Bram', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15374, '63950190', '2003', '15374', '20040112', '20031217', '', 'Pegawai', 'RS Mitra Internasional', '811199', 255000, 255000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15375, '61920045', '2003', '15375', '20040112', '20040103', 'Sutirma J.Rosalina', 'Isteri', 'RSIA T.Kembang', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15376, '70000791', '2003', '15376', '20040112', '20040108', 'Safarina', 'Isteri', 'RS Haji', '811199', 197900, 197900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15377, '66920106', '2003', '15377', '20040112', '20040108', 'Fitriani', 'Isteri', 'Balai Pabuaran', '811199', 225000, 225000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15378, '54099650', '2003', '15378', '20040112', '20031229', '', 'Pegawai', 'dr Soenati', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15379, '72000696', '2003', '15379', '20040112', '20040107', '', 'Pegawai', 'Klinik Lukman', '811199', 110000, 110000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15380, '68960388', '2004', '15380', '20040106', '20040105', 'Indriani', 'Isteri', 'RS Medistra', '811199', 1559000, 1559000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15381, '81042279', '2003', '15381', '20040106', '20031217', '', 'Pegawai', 'Klinik Mampang', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15382, '68960388', '2004', '15382', '20040112', '20040109', 'Indriani', 'Isteri', 'dr Ludins', '811199', 73500, 73500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15383, '67940157', '2003', '15383', '20040112', '20040105', '', 'Anak I', 'dr Husein Alatas', '811199', 351800, 351800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15384, '69000687', '2003', '15384', '20040112', '20040103', '', 'Pegawai', 'drg Gatot', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15385, '67990636', '2003', '15385', '20040112', '20040101', 'Ria Maria', 'Isteri', 'Klinik Citama', '811199', 206500, 206500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15386, '72021108', '2003', '15386', '20040112', '20040108', '', 'Pegawai', 'Aptk Tugu ibu', '811199', 198800, 198800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15387, '27400906', '2003', '15387', '20040112', '20040105', '', 'Anak I', 'dr H Zainal', '811199', 493000, 493000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15388, '72099654', '2004', '15388', '20040112', '20040108', '', 'Pegawai', 'RS Jakarta', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15389, '71000727', '2003', '15389', '20040112', '20040108', '', 'Pegawai', 'drg Rina', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15390, '74990649', '2003', '15390', '20040112', '20040108', '', 'Pegawai', 'RS Jakarta', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15391, '75031506', '2003', '15391', '20040112', '20031224', '', 'Pegawai', 'dr Marjono', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15392, '17100561', '2003', '15392', '20040112', '20031228', '', 'Pegawai', 'drg Liawati', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15393, '68960412', '2004', '15393', '20040112', '20040107', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 239500, 239500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15394, '68960412', '2004', '15394', '20040112', '20031230', 'Lily April Juliana Simanjuntak', 'Isteri', 'RSPI', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15395, '17501895', '2003', '15395', '20040112', '20040106', '', 'Isteri', 'Klinik Mediaka Sempurna', '811199', 95700, 95700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15396, '67970469', '2004', '15396', '20040112', '20040104', 'Rafly Malik Sulaiman', 'Anak I', 'drg Gina', '811199', 1091300, 1091300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15397, '65920039', '2003', '15397', '20010112', '20040105', '', 'Anak I', 'dr Udjiani', '811199', 109200, 109200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15398, '73000708', '2004', '15398', '20040112', '20031231', '', 'Anak I', 'dr Harry P', '811199', 925300, 925300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15399, '69021141', '2003', '15399', '20040112', '20040102', '', 'Anak I', 'dr Ellen', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15400, '17201001', '2003', '15400', '20040112', '20040103', '', 'Isteri', 'dr Frizar', '811199', 238950, 238950, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15401, '63920052', '2003', '15401', '20040112', '20031229', 'Asti Rizkiana V', 'Isteri', 'Medical Care', '811199', 173600, 173600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15402, '67960411', '2003', '15402', '20040112', '20040104', 'Endang Kuspringati S', 'Isteri', 'RB Citra', '811199', 154000, 154000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15403, '74021101', '2003', '15403', '20040112', '20031229', '', 'Isteri', 'dr Robert', '811199', 1018000, 1018000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15404, '76021234', '2003', '15404', '20040112', '20040106', '', 'Pegawai', 'Klinik Mulya', '811199', 190000, 190000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15405, '71000727', '2003', '15405', '20040112', '20040106', '', 'Pegawai', 'drg Rina', '811199', 387000, 387000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15406, '72000794', '2003', '15406', '20040112', '20040106', '', 'Anak I', 'dr Abu', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15407, '72099654', '2004', '15407', '20040112', '20040106', '', 'Isteri', 'Aptk Warung Buncit', '811199', 162000, 162000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15408, '67950193', '2003', '15408', '20040112', '20040106', '', 'Pegawai', 'RS Jakarta', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15409, '76011015', '2003', '15409', '20040112', '20040106', '', 'Pegawai', 'RS Bunda', '811199', 593300, 593300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15410, '71950212', '2004', '15410', '20040112', '20040103', '', 'Pegawai', 'dr Nugroho', '811199', 85800, 85800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15411, '71960437', '2004', '15411', '20040112', '20040103', 'Nadya Agustina', 'Anak I', 'RS Medistra', '811199', 774400, 774400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15412, '66980545', '2004', '15412', '20040112', '20040105', '', 'Pegawai', 'Aptk Karisma', '811199', 38000, 38000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15413, '66980545', '2003', '15413', '20040112', '20031229', '', 'Pegawai', 'dr Firmansyah', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15414, '75031506', '2004', '15414', '20040112', '20040102', '', 'Pegawai', 'dr Ny Lili', '811199', 73500, 73500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15415, '76021052', '2004', '15415', '20040112', '20040104', '', 'Pegawai', 'Klinik Umum yunda', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15416, '65960408', '2004', '15416', '20040112', '20040106', '', 'Pegawai', 'RS Medistra', '811199', 1338800, 1338800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15417, '70970480', '2004', '15417', '20040112', '20040106', '', 'Pegawai', 'dr Loky', '811199', 636800, 636800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15418, '67920065', '2004', '15418', '20040112', '20040102', '', 'Pegawai', 'drg Iwan', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15419, '72960390', '2003', '15419', '20040112', '20031229', '', 'Pegawai', 'FKGUI', '811199', 271625, 271625, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15420, '70950183', '2004', '15420', '20040112', '20040106', '', 'Pegawai', 'RS Medistra', '811199', 370600, 370600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15421, '16701946', '2003', '15421', '20040112', '20031229', '', 'Anak I', 'drg Ibnu', '811199', 368000, 368000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15422, '62910008', '2004', '15422', '20040112', '20031227', 'Baldomero S. G.', 'Anak I', 'RSPI', '811199', 1599500, 1599500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15423, '60930116', '2003', '15423', '20040112', '20031231', '', 'Anak I', 'RS MMC', '811199', 4508050, 4508050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15424, '63042485', '2003', '15424', '20040106', '20031211', '', 'Anak I', 'dr Melisa', '811199', 299600, 299600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15425, '80031449', '2003', '15425', '20040112', '20031230', '', 'Pegawai', 'dr Safarudin', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15426, '77011033', '2004', '15426', '20040112', '20040102', '', 'Pegawai', 'dr Harryanto', '811199', 142750, 142750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15427, '70000717', '2004', '15427', '20040112', '20031227', '', 'Pegawai', 'Aptk JEC', '811199', 190817, 190817, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15428, '59950195', '2004', '15428', '20040112', '20031212', '', 'Anak I', 'RS Mitra Keluarga', '811199', 114700, 114700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15429, '72099654', '2004', '15429', '20040112', '20031203', '', 'Isteri', 'Aptk Nusantara', '811199', 114550, 114550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15430, '66920067', '2004', '15430', '20040112', '20031220', '', 'Anak I', 'dr H Ahmad', '811199', 139200, 139200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15431, '74970450', '2004', '15431', '20040112', '20031205', '', 'Pegawai', 'RSIA Hermina', '811199', 213600, 213600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15432, '73000708', '2004', '15432', '20040112', '20031227', '', 'Anak I', 'dr Harry P', '811199', 312100, 312100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15433, '76960435', '2004', '15433', '20040106', '20031229', '', 'Isteri', 'drg Utami Pangestu', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15434, '61970468', '2004', '15434', '20040112', '20031229', '', 'Pegawai', 'dr Retno', '811199', 423200, 423200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15435, '70930144', '2004', '15435', '20040112', '20031205', '', '', 'RS Pondok Indah', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15436, '70970480', '2004', '15436', '20040112', '20031220', '', 'Pegawai', 'RS MMC', '811199', 355200, 355200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15437, '73010858', '2004', '15437', '20040112', '20031216', '', 'Anak I', 'RS Mitra', '811199', 206900, 206900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15438, '61920069', '2004', '15438', '20040116', '20040110', 'Mochamad Bayu Seto', 'Anak I', 'Aptk Sarika', '811199', 409250, 409250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15439, '17301957', '2004', '15439', '20040116', '20040109', '', 'Isteri', 'dr Hikmat', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15440, '72950364', '2004', '15440', '20040116', '20040103', '', 'Pegawai', 'RS OMC', '811199', 587150, 587150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15441, '72950364', '2004', '15441', '20040116', '20040103', '', 'Pegawai', 'RS OMC', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15442, '68960388', '2004', '15442', '20040116', '20040115', '', 'Anak I', 'RS Medistra', '811199', 1755958, 1755958, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15443, '71011018', '2004', '15443', '20040116', '20040114', '', 'Isteri', 'RS Hermina', '811199', 283500, 283500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15444, '72950223', '2004', '15444', '20040116', '20040111', '', 'Pegawai', 'dr Metta', '811199', 97000, 97000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15445, '68000760', '2004', '15445', '20040116', '20040109', 'Nurul Hidayati', 'Isteri', 'dr Retno', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15446, '74990649', '2004', '15446', '20040116', '20040110', '', 'Pegawai', 'dr Jimmy', '811199', 43000, 43000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15447, '75980563', '2004', '15447', '20040116', '20040113', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 103335, 103335, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15448, '63920052', '2004', '15448', '20040116', '20031229', '', 'Pegawai', 'Medical Care', '811199', 317000, 317000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15449, '69021141', '2004', '15449', '20040116', '20040110', '', 'Pegawai', 'Aptk RS Dharma Nugraha', '811199', 98400, 98400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15450, '74990578', '2004', '15450', '20040116', '20040107', '', 'Pegawai', 'dr Rani', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15451, '78031489', '2004', '15451', '20040116', '20040112', '', 'Pegawai', 'dr Feni', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15452, '75010905', '2004', '15452', '20040116', '20031219', '', 'Pegawai', 'dr Valentine', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15453, '66950191', '2004', '15453', '20040116', '20040107', '', 'Pegawai', 'RSPI', '811199', 774923, 499923, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15454, '67950213', '2004', '15454', '20040116', '20040107', 'Martadewi', 'Isteri', 'drg Silvy', '811199', 149500, 149500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15455, '70970480', '2004', '15455', '20040116', '20040119', '', 'Pegawai', 'RS YPK', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15456, '73010858', '2004', '15456', '20040116', '20040108', '', 'Anak I', 'RS Mitra', '811199', 347500, 347500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15457, '73099601', '2004', '15457', '20040116', '20040114', '', 'Anak I', 'dr Toto', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15458, '62920044', '2004', '15458', '20040116', '20040113', '', 'Isteri', 'RS Tria Dipa', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15459, '59021080', '2004', '15459', '20040116', '20040102', '', 'Isteri', 'Mitra Medika', '811199', 30000, 30000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15460, '60910007', '2004', '15460', '20040116', '20040105', '', 'Pegawai', 'dr Erda', '811199', 501000, 501000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15461, '70000717', '2004', '15461', '20040116', '20040103', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 93000, 93000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15462, '70930144', '2004', '15462', '20040116', '20040107', '', 'Anak I', 'RS Medistra', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15463, '73960391', '2004', '15463', '20040116', '20031227', 'Reynard', 'Anak I', 'RS Hermina', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15464, '65930147', '2004', '15464', '20040116', '20040112', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 243000, 243000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15465, '66920026', '2004', '15465', '20040116', '20040106', 'Sang Ayu Baktiasih', 'Isteri', 'RS Int,l Bintaro', '811199', 223226, 223226, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15466, '57980555', '2004', '15466', '20040116', '20031227', '', 'Pegawai', 'dr Endang', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15467, '79010894', '2004', '15467', '20040116', '20031230', '', 'Pegawai', 'dr Nunung', '811199', 65000, 65000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15468, '72031488', '2004', '15468', '20040116', '20040111', '', 'Pegawai', 'Aptk Kharisma', '811199', 203100, 203100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15469, '68950341', '2004', '15469', '20040116', '20040112', '', 'Anak I', 'RS Harapan Kita', '811199', 365000, 365000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15470, '66920064', '2004', '15470', '20040116', '20031226', '', 'Pegawai', 'drg Setiawan', '811199', 1775000, 1775000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15471, '68000709', '2004', '15471', '20040116', '20040105', '', 'Pegawai', 'RS Hermina', '811199', 377550, 377550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15472, '76021234', '2004', '15472', '20040116', '20040112', '', 'Pegawai', 'drg Maya', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15473, '74031496', '2004', '15473', '20040116', '20040112', '', 'Pegawai', 'RS Cikini', '811199', 348100, 348100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15474, '8002002', '2004', '15474', '20040116', '20040105', '', 'Pegawai', 'Aptk Ritifa', '811199', 152200, 152200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15475, '75980563', '2004', '15475', '20040116', '20040106', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 96825, 96825, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15476, '72000707', '2004', '15476', '20040116', '20031227', '', 'Anak I', 'dr Tjendro', '811199', 157100, 157100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15477, '67970470', '2004', '15477', '20040116', '20040112', '', 'Pegawai', 'dr Sandra', '811199', 213900, 213900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15478, '77021433', '2004', '15478', '20040116', '20040104', '', 'Anak I', 'dr Haji Umi Barokala', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15479, '73021081', '2004', '15479', '20040116', '20040109', '', 'Anak I', 'RS Hermina', '811199', 120500, 120500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15480, '70990586', '2004', '15480', '20040116', '20031230', '', 'Pegawai', 'dr Harriadi', '811199', 55000, 55000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15481, '61970468', '2004', '15481', '20040116', '20040112', '', 'Pegawai', 'dr Retno', '811199', 179800, 179800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15482, '64970465', '2004', '15482', '20040116', '20040112', '', 'Pegawai', 'JMC', '811199', 138800, 138800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15483, '70950199', '2004', '15483', '20040116', '20031230', '', 'Pegawai', 'dr Wita', '811199', 272000, 272000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15484, '62910013', '2004', '15484', '20040116', '20040113', '', 'Anak I', 'dr Azwir', '811199', 73100, 73100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15485, '76960435', '2004', '15485', '20040116', '20040113', '', 'Isteri', 'RS Siloam', '811199', 265190, 265190, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15486, '75990602', '2004', '15486', '20040116', '20040113', '', 'Pegawai', 'drg Daru Indrawati', '811199', 286000, 286000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15487, '65920033', '2004', '15487', '20040116', '20040114', 'Fiqih Ramadhan', 'Anak II', 'RS Tumbuh Kembang', '811199', 146200, 146200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15488, '17901973', '2004', '15488', '20040116', '20040113', '', 'Pegawai', 'RS Medistra', '811199', 528750, 528750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15489, '17901973', '2004', '15489', '20040116', '20031230', '', 'Pegawai', 'RS Tria Dipa', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15490, '70950204', '2004', '15490', '20040116', '20031222', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Sukamti', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15491, '71980540', '2004', '15491', '20040116', '20040113', 'Indah Kusharyanti', 'Isteri', 'dr Budhy', '811199', 521300, 521300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15492, '72000703', '2004', '15492', '20040116', '20040106', '', 'Pegawai', 'Century', '811199', 64300, 64300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15493, '69000669', '2004', '15493', '20040116', '20040113', '', 'Anak I', 'drg Gunawan', '811199', 288900, 288900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15494, '73032086', '2004', '15494', '20040116', '20040114', '', 'Pegawai', 'drg Indro', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15495, '74031496', '2004', '15495', '20040120', '20040114', '', 'Pegawai', 'RS Cikini', '811199', 900000, 900000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15496, '75031506', '2004', '15496', '20040120', '20040115', '', 'Pegawai', 'dr Lili', '811199', 102800, 102800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15497, '68920057', '2004', '15497', '20040120', '20040108', '', 'Isteri', 'RS Puri Cinere', '811199', 285400, 285400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15498, '68950221', '2004', '15498', '20040120', '20040114', '', 'Anak II', 'RS Hermina', '811199', 120000, 120000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15499, '68960412', '2004', '15499', '20040120', '20040116', 'Lily April Juliana Simanjuntak', 'Isteri', 'RSPI', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15500, '70930144', '2004', '15500', '20040120', '20040119', '', 'Pegawai', 'dr Sawitri', '811199', 202500, 202500, NULL, NULL, 'A', 'medical')





/* Data for the `MedicalRestitusiDetail` table  (Records 15501 - 16000) */

INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15501, '16801865', '2004', '15501', '20040120', '20040114', '', 'Pegawai', 'Klinik Limus', '811199', 33100, 33100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15502, '16801896', '2004', '15502', '20040120', '20040112', '', 'Isteri', 'dr Adnan', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15503, '75990657', '2004', '15503', '20040120', '20040114', '', 'Pegawai', 'drg Yaya', '811199', 1200000, 1200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15504, '71000750', '2004', '15504', '20040120', '20040111', '', 'Pegawai', 'Klinik Graha', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15505, '57930113', '2004', '15505', '20040120', '20040112', 'Dewi Marlini', 'Isteri', 'RSPI', '811199', 284582, 284582, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15506, '68950221', '2004', '15506', '20040120', '20040119', 'Kevin Tria Nugroho', 'Anak I', 'RS Hermina', '811199', 185390, 185390, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15507, '65960416', '2004', '15507', '20040120', '20040105', '', 'Anak I', 'Klinik Medika', '811199', 36000, 36000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15508, '70970475', '2004', '15508', '20040120', '20040117', '', 'Anak I', 'RS Hermina', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15509, '62910013', '2004', '15509', '20040120', '20040118', '', 'Anak I', 'dr Azwir', '811199', 92400, 92400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15510, '72980510', '2004', '15510', '20040120', '20040117', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 227400, 227400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15511, '65920033', '2004', '15511', '20040120', '20040116', 'Eti Karyati', 'Isteri', 'dr Subarni', '811199', 195500, 195500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15512, '69980544', '2004', '15512', '20040120', '20040117', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 286000, 286000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15513, '79030001', '2004', '15513', '20040120', '20040116', '', 'Pegawai', 'Klinik Dharma Bhakti', '811199', 36000, 36000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15514, '74021263', '2004', '15514', '20040120', '20040115', '', 'Pegawai', 'dr Rudito', '811199', 490900, 490900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15515, '17700818', '2004', '15515', '20040120', '20040115', '', 'Pegawai', 'dr David Agus', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15516, '74011037', '2004', '15516', '20040120', '20040109', '', 'Isteri', 'dr Albert', '811199', 263600, 263600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15517, '58021106', '2004', '15517', '20040120', '20040107', 'P. Bidadari', 'Isteri', 'dr Wijoyo', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15518, '74000715', '2004', '15518', '20040120', '20040118', '', 'Pegawai', 'Rs Tria Dipa', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15519, '69950209', '2004', '15519', '20040120', '20040116', '', 'Anak I', 'RS Mitra', '811199', 202300, 202300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15520, '64000846', '2004', '15520', '20040120', '20040115', '', 'Pegawai', 'dr Endang', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15521, '63970483', '2004', '15521', '20040120', '20040116', 'Eli', 'Isteri', 'dr Erna', '811199', 1025000, 1025000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15522, '74990664', '2004', '15522', '20040120', '20040116', '', 'Pegawai', 'Klinik Dharma', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15523, '65010987', '2004', '15523', '20040120', '20040112', '', 'Anak I', 'RSIA Hermina', '811199', 176000, 176000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15524, '69021086', '2004', '15524', '20040120', '20040118', '', 'Anak I', 'dr Budhi', '811199', 233100, 233100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15525, '75031468', '2004', '15525', '20040120', '20040110', '', 'Pegawai', 'JMC', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15526, '67920054', '2004', '15526', '20040127', '20040114', 'Tamam Ibrahim Satrio', 'Anak I', 'Aptk Aji Waras', '811199', 151500, 151500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15527, '73021088', '2004', '15527', '20040127', '20040125', '', 'Anak II', 'JMC', '811199', 83100, 83100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15528, '75980563', '2004', '15528', '20040127', '20040124', '', 'Anak I', 'RS Hermina', '811199', 204500, 204500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15529, '69960396', '2004', '15529', '20040127', '20040120', '', 'Anak I', 'Aptk Sabang', '811199', 119800, 119800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15530, '81031505', '2004', '15530', '20040127', '20040119', '', 'Pegawai', 'dr Agus', '811199', 132100, 132100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15531, '75000720', '2004', '15531', '20040127', '20040123', '', 'Pegawai', 'RS Puri Cinere', '811199', 125000, 125000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15532, '65960399', '2004', '15532', '20040127', '20040117', '', 'Anak I', 'RS Hermina', '811199', 293228, 293228, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15533, '60970471', '2004', '15533', '20040127', '20040110', 'Sylvina Faiza', 'Isteri', 'dr Anti Nawawi', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15534, '70970480', '2004', '15534', '20040127', '20040126', '', 'Pegawai', 'RS YPK', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15535, '67970469', '2004', '15535', '20040127', '20040123', '', 'Pegawai', 'drg Gina', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15536, '73000708', '2004', '15536', '20040127', '20040110', '', 'Anak I', 'dr Harry P', '811199', 124700, 124700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15537, '61970468', '2004', '15537', '20040127', '20040124', '', 'Anak I', 'RS Budi Jaya', '811199', 203400, 203400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15538, '70970475', '2004', '15538', '20040127', '20040121', '', 'Pegawai', 'dr Herry H', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15539, '66970473', '2004', '15539', '20040127', '20040123', '', 'Anak I', 'Rs Gandaria', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15540, '58950188', '2004', '15540', '20040127', '20040123', 'Komerahyatun', 'Isteri', 'Balai Bhakti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15541, '67920089', '2004', '15541', '20040127', '20040114', 'Fawwaz Aulia Fadhil', 'Anak I', 'JMC', '811199', 340100, 340100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15542, '66930135', '2004', '15542', '20040127', '20040126', 'Titi Erfida SH', 'Isteri', 'RS Puri Cinere', '811199', 2655699, 2655699, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15543, '66920026', '2004', '15543', '20040127', '20040123', '', 'Pegawai', 'RS Int,l Bintaro', '811199', 159482, 159482, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15544, '17601989', '2004', '15544', '20040127', '20040120', '', 'Pegawai', 'RB Alvernia Agusta', '811199', 77900, 77900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15545, '71980540', '2004', '15545', '20040127', '20040120', 'Indah Kusharyanti', 'Isteri', 'drg Karnalis', '811199', 600000, 600000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15546, '61930128', '2004', '15546', '20040127', '20040120', 'R. Raditya M.L', 'Anak I', 'RSPI', '811199', 327207, 327207, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15547, '76010936', '2004', '15547', '20040127', '20040116', '', 'Pegawai', 'drg Sylvia Agnes', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15548, '68950221', '2004', '15548', '20040127', '20040123', 'Kevin Tria Nugroho', 'Anak I', 'Rs Harapan Kita', '811199', 302500, 302500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15549, '70960414', '2004', '15549', '20040127', '20040105', '', 'Pegawai', 'drg Gunawan', '811199', 1500000, 1500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15550, '63950190', '2004', '15550', '20040127', '20040114', '', 'Pegawai', 'RSIA Permata Cibubur', '811199', 126300, 126300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15551, '60950354', '2004', '15551', '20040127', '20040114', 'Damar Surya Irdana', 'Anak II', 'dr Hartati', '811199', 167500, 167500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15552, '71960437', '2004', '15552', '20040127', '20040121', 'Rinawati', 'Isteri', 'RSPI', '811199', 251500, 251500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15553, '16701946', '2004', '15553', '20040127', '20040112', '', 'Anak I', 'dr Suharyono', '811199', 1435300, 1435300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15554, '16701946', '2004', '15554', '20040127', '20040119', '', 'Anak I', 'dr Suharyono', '811199', 727200, 727200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15555, '59950195', '2004', '15555', '20040127', '20040119', 'Lisbet Morliner', 'Isteri', 'dr Gunawan', '811199', 346300, 346300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15556, '75990602', '2004', '15556', '20040127', '20040121', '', 'Pegawai', 'RS Hermina', '811199', 208900, 208900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15557, '17101947', '2004', '15557', '20040127', '20040119', '', 'Pegawai', 'Aptk Century', '811199', 397100, 397100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15558, '61920045', '2004', '15558', '20040127', '20040119', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 214300, 214300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15559, '66970463', '2004', '15559', '20040127', '20040121', '', 'Pegawai', 'RSAB Harapan Kita', '811199', 270000, 270000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15560, '82020001', '2004', '15560', '20040127', '20040121', '', 'Pegawai', 'Klinik Syarif H', '811199', 181800, 181800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15561, '70950214', '2004', '15561', '20040127', '20040120', '', 'Anak I', 'dr Dawam', '811199', 110100, 110100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15562, '5540008', '2004', '15562', '20040127', '20040124', 'Samarthya Priyahita', 'Anak II', 'dr Hendra Irawan', '811199', 517900, 517900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15563, '74950226', '2004', '15563', '20040127', '20040126', 'Dewi Firchati', 'Isteri', 'dr.H yunizaf', '811199', 233500, 233500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15564, '65960408', '2004', '15564', '20040127', '20040126', '', 'Pegawai', 'Drg. Jimmi', '811199', 718100, 718100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15565, '61000731', '2004', '15565', '20040127', '20040120', 'Sri Windarti', 'Isteri', 'Apotik Kimia Farma', '811199', 422500, 422500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15566, '65960416', '2004', '15566', '20040127', '20040117', '', 'Anak I', 'Apotek caritas', '811199', 228000, 228000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15567, '70970487', '2004', '15567', '20040127', '20040121', '', 'Pegawai', 'Century', '811199', 820000, 820000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15568, '75031490', '2004', '15568', '20040127', '20040115', '', 'Pegawai', 'Klinik Mampang sari', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15569, '77021068', '2004', '15569', '20040127', '20040119', '', 'Pegawai', 'RS.Medistra', '811199', 201800, 201800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15570, '64950185', '2004', '15570', '20040127', '20040116', '', 'Anak I', 'Dr.H Nana Kanaen', '811199', 824200, 824200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15571, '69960401', '2004', '15571', '20040127', '20040123', 'Elly S. Abdurachman', 'Isteri', 'Dr.Adrul.M', '811199', 212600, 212600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15572, '71950200', '2004', '15572', '20040127', '20040120', '', 'Anak II', 'Apotik Medistra', '811199', 1370537, 1370537, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15573, '72000696', '2004', '15573', '20040127', '20040110', '', 'Anak I', 'RSIA Hermina', '811199', 344900, 344900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15574, '74990664', '2004', '15574', '20040127', '20040119', '', 'Pegawai', 'Gading Medikal center', '811199', 132000, 132000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15575, '66920064', '2004', '15575', '20040127', '20040116', 'M. Eryan', 'Anak I', 'Dr.Moch ZM', '811199', 37000, 37000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15576, '77021138', '2004', '15576', '20040127', '20040110', '', 'Pegawai', 'dr.Titi Moertolo', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15577, '78021264', '2004', '15577', '20040127', '20040113', '', 'Pegawai', 'Citra Ansana Medika', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15578, '66950191', '2004', '15578', '20040127', '20040119', '', 'Pegawai', 'RSPI', '811199', 1297660, 1297660, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15579, '66980545', '2004', '15579', '20040127', '20040119', '', 'Pegawai', 'Apotik Endeh', '811199', 91000, 91000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15580, '71980551', '2004', '15580', '20040127', '20040116', '', 'Pegawai', 'Drg. Endang Ekowati', '811199', 500000, 500000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15581, '75031490', '2004', '15581', '20040127', '20040116', '', 'Pegawai', 'RS. Medistra', '811199', 447900, 447900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15582, '65950169', '2004', '15582', '20040127', '20040122', '', 'Pegawai', 'Apotik Melawai', '811199', 1547200, 1547200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15583, '65930147', '2004', '15583', '20040127', '20040120', '', 'Anak I', 'Rs Harum', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15584, '76021258', '2004', '15584', '20040127', '20040121', '', 'Pegawai', 'RS Siaga Jaya', '811199', 198250, 198250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15585, '61920040', '2004', '15585', '20040127', '20040121', '', 'Pegawai', 'Aptk Bulungan', '811199', 1879502, 1879502, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15586, '71960437', '2004', '15586', '20040127', '20040124', 'Rinawati', 'Isteri', 'RSPI', '811199', 506400, 506400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15587, '66920043', '2004', '15587', '20040130', '20040126', 'Fathonah', 'Isteri', 'Denta Medika', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15588, '64960402', '2004', '15588', '20040130', '20040128', '', 'Pegawai', 'dr Hardi Susanto', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15589, '65920048', '2004', '15589', '20040130', '20040127', '', 'Isteri', 'Lab Artha', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15590, '70000791', '2004', '15590', '20040130', '20040121', '', 'Pegawai', 'RS Haji Jakarta', '811199', 739600, 739600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15591, '65930147', '2004', '15591', '20040130', '20040126', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 128000, 128000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15592, '17601989', '2004', '15592', '20040130', '20040124', '', 'Pegawai', 'RS Hermina', '811199', 153000, 153000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15593, '79021076', '2004', '15593', '20040130', '20040113', '', 'Pegawai', 'dr Kuswadji', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15594, '60950354', '2004', '15594', '20040130', '20040126', '', 'Pegawai', 'drg Armasastra', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15595, '69970477', '2004', '15595', '20040130', '20040126', '', 'Anak I', 'dr Syarif', '811199', 307900, 307900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15596, '78990600', '2004', '15596', '20040130', '20040126', '', 'Pegawai', 'Aptk Setia Budi', '811199', 210000, 210000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15597, '69950162', '2004', '15597', '20040130', '20040127', 'Sri Hardiastuti', 'Isteri', 'RSPI', '811199', 442470, 442470, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15598, '65970482', '2004', '15598', '20040130', '20040127', '', 'Pegawai', 'dr Bambang', '811199', 101000, 101000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15599, '63990637', '2004', '15599', '20040130', '20040127', 'Imaduddin A.R', 'Anak I', 'dr Sumardi', '811199', 258000, 258000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15600, '71950367', '2004', '15600', '20040130', '20040121', '', 'Anak II', 'Aptk Taman Solo', '811199', 363000, 363000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15601, '66920106', '2004', '15601', '20040130', '20040127', 'Fitriani', 'Isteri', 'BP Yadi', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15602, '17702001', '2004', '15602', '20040130', '20040126', '', 'Pegawai', 'JMC', '811199', 229800, 229800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15603, '67960411', '2004', '15603', '20040130', '20040124', 'Endang Kuspringati S', 'Isteri', 'RB Citra Ananda', '811199', 169000, 169000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15604, '64000846', '2004', '15604', '20040130', '20040127', '', 'Pegawai', 'RS Medistra', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15605, '73032086', '2004', '15605', '20040130', '20040127', '', 'Pegawai', 'drg Indro', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15606, '67950193', '2004', '15606', '20040130', '20040125', '', 'Pegawai', 'Klinik Medika', '811199', 54500, 54500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15607, '72021108', '2004', '15607', '20040130', '20040126', '', 'Isteri', 'Aptk Yaspen', '811199', 449300, 449300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15608, '72000772', '2004', '15608', '20040130', '20040126', '', 'Isteri', 'RS Harapan Bunda', '811199', 366000, 366000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15609, '70000684', '2004', '15609', '20040130', '20040121', '', 'Anak I', 'dr Gatami SpA', '811199', 123900, 123900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15610, '56920028', '2004', '15610', '20040130', '20040122', 'Maulina Dewi Wanodya', 'Anak I', 'RS Haji', '811199', 227500, 227500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15611, '76030008', '2004', '15611', '20040130', '20040126', '', 'Isteri', 'Kimia Farma', '811199', 48100, 48100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15612, '67940157', '2004', '15612', '20040130', '20040123', '', 'Anak I', 'dr Husein Alatas', '811199', 113200, 113200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15613, '71950212', '2004', '15613', '20040130', '20040128', '', 'Pegawai', 'dr Nugroho', '811199', 607900, 607900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15614, '75990602', '2004', '15614', '20040130', '20040128', '', 'Pegawai', 'dr Ignawati', '811199', 259000, 259000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15615, '70960414', '2004', '15615', '20040130', '20040112', '', 'Pegawai', 'drg Gunawan', '811199', 1381100, 1381100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15616, '16801865', '2004', '15616', '20040130', '20040127', '', 'Anak I', 'dr Songan', '811199', 134700, 134700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15617, '69000692', '2004', '15617', '20040130', '20040128', '', 'Pegawai', 'dr Danny Iskandar', '811199', 1362400, 1362400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15618, '68950371', '2004', '15618', '20040130', '20040127', 'Amarthya', 'Anak I', 'RSB Asih', '811199', 395000, 395000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15619, '66970473', '2004', '15619', '20040130', '20040128', '', 'Pegawai', 'RSIA Muhammadiyah', '811199', 92100, 92100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15620, '66920035', '2004', '15620', '20040130', '20031004', '', 'Pegawai', 'RS Pelni Petamburan', '811199', 866298, 213100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15621, '58000807', '2004', '15621', '20040130', '20040128', '', 'Anak III', 'dr Rivai Usman', '811199', 280500, 226500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15622, '70960409', '2004', '15622', '20040130', '20040127', '', 'Pegawai', 'RS Hermina', '811199', 118500, 74500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15623, '61950175', '2004', '15623', '20040130', '20040123', 'Sri Wahyuni', 'Isteri', 'Aptk Duta M', '811199', 104800, 104800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15624, '69940161', '2004', '15624', '20040130', '20040129', 'Kalista Adjani', 'Anak II', 'dr H Tin', '811199', 96800, 96800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15625, '61930128', '2004', '15625', '20040130', '20040128', '', 'Pegawai', 'Klinik Mitra', '811199', 173400, 173400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15626, '63970478', '2004', '15626', '20040130', '20040128', '', 'Pegawai', 'dr Bernhard', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15627, '54099650', '2004', '15627', '20040130', '20040121', 'Nadia Mutiarani', 'Anak III', 'dr Sulastri', '811199', 183500, 183500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15628, '17201001', '2004', '15628', '20040130', '20040124', '', 'Isteri', 'RS Hermina', '811199', 218430, 218430, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15629, '74031496', '2004', '15629', '20040130', '20040121', '', 'Pegawai', 'Rs Cikini', '811199', 401800, 401800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15630, '75031468', '2004', '15630', '20040130', '20040118', '', 'Pegawai', 'dr Atho', '811199', 121400, 121400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15631, '75980563', '2004', '15631', '20040130', '20040128', 'Alia Hanifah', 'Isteri', 'RS Hermina', '811199', 157240, 157240, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15632, '71980540', '2004', '15632', '20040130', '20040127', 'Indah Kusharyanti', 'Isteri', 'drg Karnalis', '811199', 272500, 272500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15633, '64930110', '2004', '15633', '20040130', '20040123', '', 'Pegawai', 'drg Shinta Wibowo', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15634, '57990576', '2004', '15634', '20040130', '20040119', 'Sulastini', 'Isteri', 'drg Liliana', '811199', 395000, 395000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15635, '17501895', '2004', '15635', '20040130', '20040119', '', 'Anak I', 'drg N Sukarti', '811199', 180700, 180700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15636, '65960379', '2004', '15636', '20040130', '20040123', 'Muhammad Kemal Ramadhan', 'Anak I', 'Aptk Tripharma', '811199', 76000, 76000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15637, '75010905', '2004', '15637', '20040130', '20040121', '', 'Pegawai', 'Klinik Ladokgi', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15638, '68920057', '2004', '15638', '20040203', '20040128', '', 'Isteri', 'RS Puri Cinere', '811199', 173700, 173700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15639, '81042279', '2004', '15639', '20040203', '20040128', '', 'Pegawai', 'ITC Optik', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15640, '70920034', '2004', '15640', '20040203', '20040131', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 65500, 65500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15641, '76011015', '2004', '15641', '20040203', '20040128', '', 'Pegawai', 'RS Bunda', '811199', 453000, 453000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15642, '80021417', '2004', '15642', '20040203', '20040128', '', 'Pegawai', 'RS Dharmais', '811199', 323000, 323000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15643, '74990649', '2004', '15643', '20040203', '20040126', '', 'Pegawai', 'dr Yanuar', '811199', 118000, 118000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15644, '69021141', '2004', '15644', '20040203', '20040123', '', 'Isteri', 'dr Djoni', '811199', 67000, 67000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15645, '17699665', '2004', '15645', '20040203', '20040203', '', 'Pegawai', 'RS Medistra', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15646, '66990584', '2004', '15646', '20040203', '20040120', 'Andi Firyal', 'Anak II', 'RSCM', '811199', 176500, 176500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15647, '67950203', '2004', '15647', '20040203', '20040114', 'Yuli Sumirah', 'Isteri', 'Klinik Syarif', '811199', 129500, 129500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15648, '79021076', '2004', '15648', '20040203', '20040130', '', 'Pegawai', 'Aptk Palafarma', '811199', 113100, 113100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15649, '62910013', '2004', '15649', '20040203', '20040129', '', 'Anak I', 'dr Azwir', '811199', 100700, 100700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15650, '72950205', '2004', '15650', '20040203', '20040130', 'Rizqullah Ishaq', 'Anak I', 'RS Tugu Ibu', '811199', 317000, 317000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15651, '70000791', '2004', '15651', '20040203', '20040128', '', 'Pegawai', 'RS Haji Jakarta', '811199', 131700, 131700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15652, '63970478', '2004', '15652', '20040203', '20040123', '', 'Pegawai', 'drg Hj Indrawati', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15653, '74950226', '2004', '15653', '20040203', '20040128', 'Sheza M. A.', 'Anak II', 'dr Tan Gek Soan', '811199', 128700, 128700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15654, '67970469', '2004', '15654', '20040203', '20040130', 'Rafly Malik Sulaiman', 'Anak I', 'drg Gina', '811199', 638000, 638000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15655, '68970466', '2004', '15655', '20040203', '20040202', '', 'Pegawai', 'RS Hermina', '811199', 477090, 477090, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15656, '17901973', '2004', '15656', '20040203', '20040127', '', 'Pegawai', 'Lab Paramitha', '811199', 995400, 995400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15657, '64970465', '2004', '15657', '20040203', '20040105', '', 'Pegawai', 'JMC', '811199', 127400, 127400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15658, '61920040', '2004', '15658', '20040203', '20040202', '', 'Pegawai', 'drg Muliasari', '811199', 1650000, 1650000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15659, '78031489', '2004', '15659', '20040203', '20040202', '', 'Pegawai', 'dr Feni', '811199', 385000, 385000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15660, '66920026', '2004', '15660', '20040203', '20040130', '', 'Pegawai', 'drg Novy', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15661, '5203005', '2004', '15661', '20040130', '20040114', '', 'Pegawai', 'dr Titi Moertolo', '811199', 600500, 600500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15662, '60920041', '2004', '15662', '20040209', '20040205', 'Dewi Handayani', 'Isteri', 'Klinik Onkologi', '811199', 340000, 340000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15663, '57930113', '2004', '15663', '20040209', '20040101', 'Anggraini Rahayu Widyanti', 'Anak I', 'drg Hendyahti', '811199', 225000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15664, '69970477', '2004', '15664', '20040209', '20040204', '', 'Anak I', 'RS Hermina', '811199', 101860, 101860, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15665, '63950190', '2004', '15665', '20040209', '20040204', '', 'Pegawai', 'RSIA Permata', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15666, '51030006', '2004', '15666', '20040209', '20040204', '', 'Pegawai', 'drg Thresiani', '811199', 2401000, 2401000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15667, '80031449', '2004', '15667', '20040209', '20040202', '', 'Pegawai', 'dr Safarudin', '811199', 129000, 129000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15668, '82020001', '2004', '15668', '20040209', '20040205', '', 'Pegawai', 'Klinik Syarif H', '811199', 124000, 124000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15669, '70970475', '2004', '15669', '20040209', '20040131', '', 'Anak I', 'Rs Hermina', '811199', 421000, 421000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15670, '70960393', '2004', '15670', '20040209', '20040119', '', 'Pegawai', 'RS Dharma Nugraha', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15671, '63970478', '2004', '15671', '20040209', '20040203', '', 'Pegawai', 'drg Hj Indrawati', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15672, '68920053', '2004', '15672', '20040209', '20040204', 'Syahida Nurrahmah', 'Anak II', 'dr Nancy', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15673, '61930128', '2004', '15673', '20040209', '20040203', 'R. Raditya M.L', 'Anak I', 'dr Hari Martono', '811199', 550300, 550300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15674, '69980544', '2004', '15674', '20040209', '20040131', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 244035, 244035, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15675, '5540008', '2004', '15675', '20040209', '20040204', '', 'Anak III', 'RS Pondok Indah', '811199', 208900, 208900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15676, '66010859', '2004', '15676', '20040209', '20000304', '', 'Pegawai', 'Rs Int,l Bintaro', '811199', 432485, 432485, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15677, '73032086', '2004', '15677', '20040209', '20040203', '', 'Pegawai', 'drg Indro', '811199', 345000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15678, '67920054', '2004', '15678', '20040209', '20040203', 'Irma Rochima Puspita', 'Isteri', 'RSCM', '811199', 593200, 593200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15679, '66950355', '2004', '15679', '20040209', '20040130', '', 'Isteri', 'RS Harapan Kita', '811199', 158000, 158000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15680, '64000846', '2004', '15680', '20040209', '20040203', '', 'Pegawai', 'Yay Citra Bersama', '811199', 240000, 240000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15681, '63920052', '2004', '15681', '20040209', '20040127', '', 'Pegawai', 'A.Guardian', '811199', 58750, 58750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15682, '76011015', '2004', '15682', '20040209', '20040203', '', 'Pegawai', 'RS Bunda', '811199', 719000, 719000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15683, '70950204', '2004', '15683', '20040209', '20040129', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'dr Toniman', '811199', 185000, 185000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15684, '74950356', '2004', '15684', '20040209', '20040204', 'Thifal N.', 'Anak II', 'dr J Silitonga', '811199', 216400, 216400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15685, '69021086', '2004', '15685', '20040209', '20040203', '', 'Anak II', 'RS Mary', '811199', 165300, 165300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15686, '77021138', '2004', '15686', '20040209', '20040131', '', 'Pegawai', 'dr Titi Moertolo', '811199', 205000, 205000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15687, '63970483', '2004', '15687', '20040209', '20040120', '', 'Anak I', 'dr Abdurrachman', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15688, '75990602', '2004', '15688', '20040209', '20040203', '', 'Pegawai', 'drg Ratna Maulana', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15689, '17301957', '2004', '15689', '20040209', '20040127', '', 'Isteri', 'RS Bunda', '811199', 339500, 339500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15690, '72000701', '2004', '15690', '20040209', '20040204', '', 'Pegawai', 'dr Gunawan S.J', '811199', 215000, 215000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15691, '63970464', '2004', '15691', '20040209', '20040203', '', 'Pegawai', 'Ladokgi', '811199', 20000, 20000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15692, '17300901', '2004', '15692', '20040209', '20040203', '', 'Pegawai', 'RS Jakarta', '811199', 287500, 287500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15693, '68000760', '2004', '15693', '20040209', '20040202', 'Athifah Hanani', 'Anak II', 'dr Eti Astuti', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15694, '72000707', '2004', '15694', '20040209', '20040202', '', 'Anak I', 'dr Ira', '811199', 798000, 798000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15695, '70000961', '2004', '15695', '20040209', '20040203', '', 'Pegawai', 'dr R Prasasta', '811199', 246300, 246300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15696, '67920089', '2004', '15696', '20040209', '20040206', 'Fawwaz Aulia Fadhil', 'Anak I', 'JMC', '811199', 312200, 312200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15697, '71980506', '2004', '15697', '20040209', '20040208', '', 'Pegawai', 'dr Nugroho', '811199', 304300, 304300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15698, '71980540', '2004', '15698', '20040209', '20040204', 'Indah Kusharyanti', 'Isteri', 'RS Bhakti Yudha', '811199', 207000, 207000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15699, '64950185', '2004', '15699', '20040209', '20040203', '', 'Isteri', 'dr H Nana K', '811199', 530000, 530000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15700, '67950203', '2004', '15700', '20040209', '20040208', 'Salsabila Shafira', 'Anak II', 'Apotik Cirendeu', '811199', 63000, 63000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15701, '70970480', '2004', '15701', '20040209', '20040131', '', 'Pegawai', 'RS MMC', '811199', 341600, 341600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15702, '67990636', '2004', '15702', '20040209', '20040206', 'Harish Hashuro M', 'Anak I', 'RS Hermina', '811199', 714595, 714595, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15703, '65960408', '2004', '15703', '20040209', '20040111', '', 'Pegawai', 'Kimia Farma', '811199', 66200, 66200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15704, '70010882', '2004', '15704', '20040209', '20040124', '', 'Anak I', 'RS Pertamina', '811199', 446000, 446000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15705, '74970450', '2004', '15705', '20040209', '20040206', '', 'Pegawai', 'RSIA Hermina', '811199', 260150, 260150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15706, '71940159', '2004', '15706', '20040209', '20040120', '', 'Anak I', 'RSPI', '811199', 162304, 162304, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15707, '71970456', '2004', '15707', '20040209', '20040207', '', 'Pegawai', 'drg Erryzona', '811199', 469600, 469600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15708, '69950162', '2004', '15708', '20040209', '20040207', 'Muhammad Nadhif Judhananto', 'Anak I', 'RSPI', '811199', 175000, 175000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15709, '75031468', '2004', '15709', '20040209', '20040203', '', 'Pegawai', 'dr Idrus', '811199', 378300, 378300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15710, '63970476', '2004', '15710', '20040209', '20040204', '', 'Pegawai', 'drg Abdoellah', '811199', 525000, 525000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15711, '74031496', '2004', '15711', '20040209', '20040204', '', 'Pegawai', 'RS Cikini', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15712, '77011016', '2004', '15712', '20040209', '20040125', '', 'Pegawai', 'dr Rani Noviani', '811199', 302000, 302000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15713, '71960398', '2004', '15713', '20040209', '20040203', '', 'Pegawai', 'RS Graha Medika', '811199', 424000, 424000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15714, '73010858', '2004', '15714', '20040209', '20040204', '', 'Isteri', 'RS Tri Mitra', '811199', 44500, 44500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15715, '72000794', '2004', '15715', '20040209', '20040204', '', 'Isteri', 'dr Rudiyanti', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15716, '74021263', '2004', '15716', '20040209', '20040203', '', 'Pegawai', 'dr Rudito', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15717, '74031476', '2004', '15717', '20040209', '20040206', '', 'Pegawai', 'RS JMC', '811199', 66400, 66400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15718, '75980563', '2004', '15718', '20040209', '20040206', 'Alia Hanifah', 'Isteri', 'Aptk Primagria', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15719, '71011018', '2004', '15719', '20040209', '20040206', '', 'Anak I', 'RS Ritifa', '811199', 90200, 90200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15720, '74021263', '2004', '15720', '20040209', '20040131', '', 'Pegawai', 'Prima Medika', '811199', 562250, 562250, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15721, '75020001', '2004', '15721', '20040213', '20040210', '', 'Pegawai', 'RS AL', '811199', 183000, 183000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15722, '51980512', '2004', '15722', '20040213', '20040210', 'Wahdini Zeiniarti', 'Anak I', 'Aptk Odopharm', '811199', 1942700, 1695700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15723, '69000848', '2004', '15723', '20040213', '20040204', '', 'Pegawai', 'BP Klinik M Toha', '811199', 48000, 48000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15724, '69000669', '2004', '15724', '20040213', '20040212', '', 'Anak I', 'drg Daru', '811199', 300000, 300000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15725, '69021086', '2004', '15725', '20040213', '20040209', '', 'Anak II', 'RS Mary', '811199', 188600, 188600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15726, '63970478', '2004', '15726', '20040213', '20040123', '', 'Pegawai', 'dr Bernhard S', '811199', 45000, 45000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15727, '60950353', '2004', '15727', '20040213', '20040207', '', 'Anak I', 'RS Int,l Bintaro', '811199', 102500, 102500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15728, '66920106', '2004', '15728', '20040213', '20040210', '', 'Anak I', 'BK Bakti Sejahtera', '811199', 195000, 195000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15729, '61950175', '2004', '15729', '20040213', '20040211', 'Novana Nisrina W', 'Anak I', 'RS Hermina', '811199', 449180, 449180, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15730, '67960411', '2004', '15730', '20040213', '20040206', 'Endang Kuspringati S', 'Isteri', 'RB Citra Ananda', '811199', 154500, 154500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15731, '64000846', '2004', '15731', '20040213', '20040210', '', 'Pegawai', 'Ladokgi', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15732, '66950355', '2004', '15732', '20040213', '20040206', '', 'Isteri', 'RS Harapan Kita', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15733, '65980564', '2004', '15733', '20040213', '20040206', 'Sekar P. L', 'Anak III', 'RS Hermina', '811199', 264650, 264650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15734, '76011015', '2004', '15734', '20040213', '20040209', '', 'Pegawai', 'RS Medika Griya', '811199', 458520, 458520, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15735, '76021258', '2004', '15735', '20040213', '20040209', '', 'Pegawai', 'RS Siaga Raya', '811199', 235400, 235400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15736, '78990600', '2004', '15736', '20040213', '20040210', '', 'Pegawai', 'RS Medika', '811199', 261500, 261500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15737, '65960416', '2004', '15737', '20040213', '20040209', '', 'Anak I', 'Klinik Medika', '811199', 37000, 37000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15738, '17601989', '2004', '15738', '20040213', '20040210', '', 'Pegawai', 'RB Alvernia Agusta', '811199', 161300, 161300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15739, '72000696', '2004', '15739', '20040213', '20040209', '', 'Anak I', 'RSIA Hermina', '811199', 167165, 167165, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15740, '57990576', '2004', '15740', '20040213', '20040206', 'Sulastini', 'Isteri', 'RS Harum', '811199', 256000, 256000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15741, '60960384', '2004', '15741', '20040209', '20040201', '', 'Pegawai', 'Klinik Medika Sampurna', '811199', 51000, 51000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15742, '62920044', '2004', '15742', '20040209', '20040203', '', 'Anak I', 'RS Tria Dipa', '811199', 245000, 245000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15743, '60930116', '2004', '15743', '20040209', '20040130', '', 'Anak I', 'RS MMC', '811199', 2803000, 2803000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15744, '72960390', '2004', '15744', '20040209', '20040129', '', 'Pegawai', 'dr Sunarto', '811199', 41500, 41500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15745, '66970463', '2004', '15745', '20040209', '20040202', '', 'Pegawai', 'RS Patria IKKT', '811199', 172000, 172000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15746, '76021082', '2004', '15746', '20040209', '20040124', '', 'Pegawai', 'Klinik Bersalin Mama', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15747, '57930146', '2004', '15747', '20040209', '20040121', 'Tri Astuti Handayani', 'Isteri', 'RS Dharma Nugraha', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15748, '67920065', '2004', '15748', '20040209', '20040105', '', 'Pegawai', 'drg Iwan', '811199', 850000, 0, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15749, '60930108', '2004', '15749', '20040209', '20040131', '', 'Pegawai', 'Dental Art', '811199', 802600, 802600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15750, '60950353', '2004', '15750', '20040209', '20040131', '', 'Anak I', 'RS MMC', '811199', 239100, 239100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15751, '75021078', '2004', '15751', '20040209', '20040126', 'Yulia N.', 'Isteri', 'Poliklinik BKR-MKGR', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15752, '66950191', '2004', '15752', '20040209', '20040203', '', 'Pegawai', 'RSPI', '811199', 324100, 324100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15753, '71950200', '2004', '15753', '20040209', '20040126', '', 'Anak I', 'dr Eric', '811199', 197800, 197800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15754, '64930109', '2004', '15754', '20040209', '20040127', 'Muhammad Cesare Wicaksana Nero', 'Anak I', 'Aptk Melawai', '811199', 590650, 590650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15755, '60920075', '2004', '15755', '20040209', '20040124', 'Tatag Abiyoso Utomo', 'Anak I', 'dr Rini T', '811199', 486700, 486700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15756, '49960404', '2004', '15756', '20040209', '20040109', 'Yasser', 'Anak II', 'Yay Geneka', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15757, '76960435', '2004', '15757', '20040209', '20040203', '', 'Pegawai', 'dr Silayana', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15758, '73970451', '2004', '15758', '20040209', '20040203', '', 'Pegawai', 'drg Mitayani', '811199', 1126200, 1126200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15759, '67950213', '2004', '15759', '20040209', '20040129', '', 'Anak I', 'drg Helena', '811199', 292500, 292500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15760, '72021108', '2004', '15760', '20040209', '20040129', '', 'Anak I', 'RS Tugu Ibu', '811199', 172400, 172400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15761, '67940157', '2004', '15761', '20040209', '20040206', '', 'Pegawai', 'dr Husein Alatas', '811199', 424800, 424800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15762, '76980517', '2004', '15762', '20040213', '20040128', '', 'Isteri', 'RS Prima Husada', '811199', 305800, 305800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15763, '68960412', '2004', '15763', '20040213', '20040130', 'Lily April Juliana Simanjuntak', 'Isteri', 'RSPI', '811199', 142000, 142000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15764, '68960412', '2004', '15764', '20040213', '20040210', '', 'Pegawai', 'dr Jeane', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15765, '68960412', '2004', '15765', '20040213', '20040121', 'Lily April Juliana Simanjuntak', 'Isteri', 'RSPI', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15766, '73970451', '2004', '15766', '20040213', '20040207', '', 'Pegawai', 'RS PMI', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15767, '57980555', '2004', '15767', '20040213', '20040205', 'Rizki Savitri', 'Anak II', 'dr Endang', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15768, '55021244', '2004', '15768', '20040213', '20040209', '', 'Pegawai', 'dr Sutan', '811199', 243600, 243600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15769, '76021236', '2004', '15769', '20040213', '20040209', '', 'Pegawai', 'dr Hermanto', '811199', 192000, 192000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15770, '71950200', '2004', '15770', '20040213', '20040209', '', 'Anak I', 'RS Aini', '811199', 335700, 335700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15771, '70950214', '2004', '15771', '20040213', '20040204', '', 'Anak I', 'dr Dawam', '811199', 91900, 91900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15772, '63970478', '2004', '15772', '20040213', '20040209', '', 'Pegawai', 'dr Bernhard', '811199', 54500, 54500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15773, '66970473', '2004', '15773', '20040213', '20040209', '', 'Anak I', 'RS Gandaria', '811199', 309900, 309900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15774, '60960384', '2004', '15774', '20040213', '20040206', '', 'Anak II', 'RS Hermina', '811199', 152500, 152500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15775, '63990637', '2004', '15775', '20040213', '20040130', 'Abdul Hadi', 'Anak III', 'RB Sejahtera', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15776, '65980552', '2004', '15776', '20040213', '20040115', 'Harun Al Rasyid', 'Anak I', 'dr Soekarno', '811199', 173300, 173300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15777, '71980540', '2004', '15777', '20040213', '20040209', '', 'Anak II', 'dr Kemal', '811199', 250000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15778, '76030008', '2004', '15778', '20040213', '20040202', '', 'Isteri', 'drg Hartono', '811199', 92000, 92000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15779, '65930143', '2004', '15779', '20040213', '20040203', 'Wiandra Bagus Wicaksono', 'Anak II', 'dr Subiakto', '811199', 230150, 230150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15780, '70010898', '2004', '15780', '20040213', '20040209', 'Anindya F.', 'Anak I', 'Aptk Bayu', '811199', 431100, 431100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15781, '76960435', '2004', '15781', '20040213', '20040209', '', 'Isteri', 'RS Siloam', '811199', 264914, 264914, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15782, '65920039', '2004', '15782', '20040213', '20040207', 'Wiwin W,AMK', 'Isteri', 'RS Int,l Bintaro', '811199', 243189, 243189, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15783, '61950175', '2004', '15783', '20040217', '20040214', '', 'Anak III', 'RS Hermina', '811199', 337045, 337045, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15784, '16701946', '2004', '15784', '20040217', '20040215', '', 'Anak I', 'dr Suharyono', '811199', 850000, 850000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15785, '16701946', '2004', '15785', '20040217', '20040215', '', 'Anak II', 'dr Suharyono', '811199', 389500, 389500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15786, '72000703', '2004', '15786', '20040207', '20040211', '', 'Pegawai', 'Century', '811199', 93600, 93600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15787, '62920017', '2004', '15787', '20040217', '20040212', '', 'Anak I', 'dr Welinton', '811199', 152000, 152000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15788, '73010858', '2004', '15788', '20040217', '20040212', '', 'Isteri', 'RS Mitra', '811199', 652300, 652300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15789, '69970477', '2004', '15789', '20040217', '20040214', '', 'Anak I', 'RS Mary', '811199', 148800, 148800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15790, '63010866', '2004', '15790', '20040217', '20040214', '', 'Pegawai', 'RSU Bhakti Yudha', '811199', 490500, 490500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15791, '65960399', '2004', '15791', '20040217', '20040211', 'Mariam', 'Isteri', 'drg Hasnidar', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15792, '77021138', '2004', '15792', '20040217', '20040209', '', 'Pegawai', 'Remedika Bintarao', '811199', 275100, 275100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15793, '68920057', '2004', '15793', '20040217', '20040212', '', 'Isteri', 'RS Puri Cinere', '811199', 173700, 173700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15794, '71960437', '2004', '15794', '20040217', '20040216', 'M. Farhan', 'Anak II', 'RS Bunda Auni', '811199', 954800, 954800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15795, '55021244', '2004', '15795', '20040217', '20040212', '', 'Pegawai', 'dr sutan', '811199', 81200, 81200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15796, '60920041', '2004', '15796', '20040217', '20040211', 'Baswara Raspati Mursyid', 'Anak II', 'RS Bunda', '811199', 470700, 470700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15797, '72950364', '2004', '15797', '20040217', '20040123', '', 'Pegawai', 'RS OMC', '811199', 216500, 216500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15798, '72031488', '2004', '15798', '20040217', '20040131', '', 'Pegawai', 'Aptk Guardian', '811199', 121900, 121900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15799, '73970495', '2004', '15799', '20040217', '20040212', '', 'Pegawai', 'dr Karno', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15800, '16801896', '2004', '15800', '20040217', '20040131', '', 'Pegawai', 'dr Adnan', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15801, '66930135', '2004', '15801', '20040217', '20040207', 'Titi Erfida SH', 'Isteri', 'RS Puri Cinere', '811199', 767057, 767057, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15802, '74020003', '2004', '15802', '20040217', '20040211', '', 'Pegawai', 'RS Siaga Raya', '811199', 725750, 725750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15803, '68021246', '2004', '15803', '20040217', '20040125', '', 'Pegawai', 'RS Banyumanik', '811199', 198000, 198000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15804, '79031739', '2004', '15804', '20040217', '20040203', '', 'Pegawai', 'dr I Made', '811199', 165300, 165300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15805, '61920040', '2004', '15805', '20040213', '20040211', '', 'Pegawai', 'Aptk Bulungan', '811199', 1150000, 1150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15806, '64960402', '2004', '15806', '20040217', '20040204', '', 'Pegawai', 'Tugu Medical Centre', '811199', 1043000, 1043000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15807, '72031488', '2004', '15807', '20040217', '20040216', '', 'Pegawai', 'Aptk Guardian', '811199', 328055, 328055, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15808, '70950214', '2004', '15808', '20040224', '20040223', '', 'Anak I', 'dr Dawam', '811199', 310700, 310700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15809, '70990586', '2004', '15809', '20040224', '20040207', '', 'Pegawai', 'dr Nenie', '811199', 180000, 180000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15810, '65960408', '2004', '15810', '20040224', '20040219', 'Dikiy', 'Anak III', 'dr Merri', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15811, '70000791', '2004', '15811', '20040224', '20040219', '', 'Pegawai', 'RS Haji Jakarta', '811199', 146400, 146400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15812, '73960391', '2004', '15812', '20040224', '20040129', 'Reynard', 'Anak I', 'RS Hermina', '811199', 135880, 135880, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15813, '61950175', '2004', '15813', '20040224', '20040218', 'Sri Wahyuni', 'Isteri', 'RS Hermina', '811199', 113820, 113820, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15814, '71980540', '2004', '15814', '20040224', '20040219', 'Indah Kusharyanti', 'Isteri', 'dr Kemal', '811199', 515000, 515000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15815, '65960408', '2004', '15815', '20040224', '20040126', '', 'Pegawai', 'drg Jimmy', '811199', 1000000, 1000000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15816, '66010859', '2004', '15816', '20040224', '20040219', 'Pratiti', 'Isteri', 'Aptk Andini', '811199', 217000, 217000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15817, '68950221', '2004', '15817', '20040224', '20040119', '', 'Pegawai', 'RS Harapan Kita', '811199', 402550, 402550, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15818, '78021416', '2004', '15818', '20040224', '20040219', '', 'Pegawai', 'dr Titi S', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15819, '79010904', '2004', '15819', '20040224', '20040205', '', 'Pegawai', 'Aptk Cito', '811199', 156100, 156100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15820, '76021048', '2004', '15820', '20040224', '20040219', '', 'Pegawai', 'dr Tinawati', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15821, '69021141', '2004', '15821', '20040224', '20040219', '', 'Isteri', 'dr Djoni', '811199', 141500, 141500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15822, '73010870', '2004', '15822', '20040224', '20040217', '', 'Pegawai', 'drg Henni T.P', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15823, '17201001', '2004', '15823', '20040224', '20040219', '', 'Isteri', 'RSB Duren Tiga', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15824, '52030005', '2004', '15824', '20040224', '20040214', '', 'Anak I', 'dr Jahja', '811199', 244800, 244800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15825, '77021433', '2004', '15825', '20040224', '20040218', '', 'Anak I', 'Klinik Annisa', '811199', 77000, 77000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15826, '68960412', '2004', '15826', '20040224', '20040210', 'Michelle Shan C.', 'Anak I', 'RSPI', '811199', 265000, 265000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15827, '68960412', '2004', '15827', '20040224', '20040210', '', 'Anak II', 'RSPI', '811199', 204000, 204000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15828, '68960412', '2004', '15828', '20040224', '20040203', 'Lily April Juliana Simanjuntak', 'Isteri', 'RSPI', '811199', 158000, 158000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15829, '68930133', '2004', '15829', '20040224', '20040219', '', 'Pegawai', 'dr Benny E', '811199', 91800, 91800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15830, '69960401', '2004', '15830', '20040224', '20040216', 'Elly S. Abdurachman', 'Isteri', 'dr Adrul M', '811199', 282600, 282600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15831, '61970468', '2004', '15831', '20040224', '20040218', '', 'Pegawai', 'Ladokgi', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15832, '61000731', '2004', '15832', '20040224', '20040203', 'Sri Windarti', 'Isteri', 'Aptk Miwi', '811199', 226000, 226000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15833, '66920035', '2004', '15833', '20040224', '20040218', '', 'Pegawai', 'RS Pelni Petamburan', '811199', 408700, 408700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15834, '71950212', '2004', '15834', '20040224', '20040218', '', 'Pegawai', 'dr Nyima Midin', '811199', 398000, 398000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15835, '77021067', '2004', '15835', '20040224', '20040213', '', 'Pegawai', 'drg Endang E', '811199', 330000, 330000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15836, '73032086', '2004', '15836', '20040224', '20040218', '', 'Pegawai', 'drg Indro', '811199', 160000, 160000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15837, '69970477', '2004', '15837', '20040224', '20040218', '', 'Pegawai', 'drg Gina', '811199', 450000, 450000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15838, '80021417', '2004', '15838', '20040224', '20040218', '', 'Pegawai', 'RS Dharmais', '811199', 378200, 378200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15839, '80021417', '2004', '15839', '20040224', '20040214', '', 'Pegawai', 'Aptk Senopati', '811199', 177300, 177300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15840, '69021141', '2004', '15840', '20040224', '20040217', '', 'Isteri', 'dr Ellen T', '811199', 182600, 182600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15841, '63920052', '2004', '15841', '20040224', '20040213', '', 'Pegawai', 'RS Siaga Raya', '811199', 124500, 124500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15842, '64000846', '2004', '15842', '20040224', '20040217', '', 'Pegawai', 'Ladokgi', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15843, '68000752', '2004', '15843', '20040224', '20040212', '', 'Anak II', 'Aptk Aji Waras', '811199', 103300, 103300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15844, '61920045', '2004', '15844', '20040224', '20040217', '', 'Anak I', 'RS Tumbuh Kembang', '811199', 394000, 394000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15845, '65950169', '2004', '15845', '20040224', '20040217', '', 'Pegawai', 'Apotik Melawai', '811199', 772600, 772600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15846, '70970480', '2004', '15846', '20040224', '20040218', '', 'Pegawai', 'Aptk Ratu Mustika', '811199', 157900, 157900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15847, '63970478', '2004', '15847', '20040224', '20040216', '', 'Pegawai', 'dr Bernhard', '811199', 104500, 104500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15848, '70920034', '2004', '15848', '20040224', '20040216', '', 'Pegawai', 'dr Syarief A', '811199', 74000, 74000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15849, '77021433', '2004', '15849', '20040224', '20040215', '', 'Anak I', 'Klinik Annisa', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15850, '17301957', '2004', '15850', '20040224', '20040216', '', 'Pegawai', 'dr Angelita s', '811199', 259000, 259000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15851, '73970451', '2004', '15851', '20040224', '20040217', '', 'Pegawai', 'dr Lusiana', '811199', 60000, 60000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15852, '65930143', '2004', '15852', '20040224', '20040217', 'Wiandra Bagus Wicaksono', 'Anak II', 'Klinik Remedika', '811199', 345000, 345000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15853, '77021138', '2004', '15853', '20040224', '20040216', '', 'Pegawai', 'dr Titi M', '811199', 115000, 115000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15854, '63910010', '2004', '15854', '20040224', '20040217', 'Sindy Fadhilah Nasution', 'Anak II', 'RS Tumbuh Kembang', '811199', 65800, 65800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15855, '59021080', '2004', '15855', '20040224', '20040217', '', 'Isteri', 'Aptk Medika', '811199', 246900, 246900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15856, '64930109', '2004', '15856', '20040224', '20040212', 'Muhammad Cesare Wicaksana Nero', 'Anak I', 'RS Hermina', '811199', 514200, 514200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15857, '78000693', '2004', '15857', '20040224', '20040213', '', 'Pegawai', 'Klinik Graha Kuningan', '811199', 372500, 372500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15858, '68930133', '2004', '15858', '20040224', '20040215', '', 'Pegawai', 'dr Jacob R.P', '811199', 69500, 69500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15859, '70990648', '2004', '15859', '20040224', '20040215', 'Faizah Rahmah Izzatudini', 'Anak I', 'Aptk Pekayon Jaya', '811199', 437300, 437300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15860, '70950204', '2004', '15860', '20040224', '20040216', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'Bidan Sukamti', '811199', 75000, 75000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15861, '70930144', '2004', '15861', '20040224', '20040216', '', 'Pegawai', 'dr Sawitri', '811199', 581479, 581479, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15862, '63920047', '2004', '15862', '20040224', '20040216', '', 'Anak I', 'Aptk Yosa Medika', '811199', 853100, 853100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15863, '78990600', '2004', '15863', '20040224', '20040216', '', 'Pegawai', 'RS Medika', '811199', 404000, 404000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15864, '67920054', '2004', '15864', '20040224', '20040210', 'Tamam Ibrahim Satrio', 'Anak I', 'RSCM', '811199', 406200, 406200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15865, '17201001', '2004', '15865', '20040224', '20040211', '', 'Isteri', 'RS Tria Dipa', '811199', 230000, 230000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15866, '74011037', '2004', '15866', '20040224', '20040216', '', 'Isteri', 'dr H Sudarmaji', '811199', 210500, 210500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15867, '17700818', '2004', '15867', '20040224', '20040216', '', 'Pegawai', 'dr David Agus', '811199', 150000, 150000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15868, '74031496', '2004', '15868', '20040224', '20040213', '', 'Pegawai', 'RS Cikini', '811199', 118300, 118300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15869, '70031507', '2004', '15869', '20040224', '20040220', '', 'Anak I', 'Prof Husein', '811199', 579100, 579100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15870, '74950226', '2004', '15870', '20040224', '20040220', 'Sheza M. A.', 'Anak II', 'dr Eddy', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15871, '65010987', '2004', '15871', '20040224', '20040218', '', 'Anak I', 'Aptk Legenda', '811199', 155000, 155000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15872, '65950196', '2004', '15872', '20040224', '20040218', '', 'Pegawai', 'dr Martha', '811199', 57000, 57000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15873, '77021138', '2004', '15873', '20040224', '20040218', '', 'Pegawai', 'Klinik Medika', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15874, '57920024', '2004', '15874', '20040224', '20040220', '', 'Isteri', 'dr Bambang', '811199', 1209200, 1209200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15875, '72000701', '2004', '15875', '20040224', '20040223', '', 'Pegawai', 'THT Proklamasi', '811199', 849895, 849895, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15876, '74031438', '2004', '15876', '20040224', '20040131', '', 'Anak I', 'RSAB Harapan Kita', '811199', 312200, 312200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15877, '66990584', '2004', '15877', '20040224', '20040217', 'Andi Ernawati SE', 'Isteri', 'Sarana An-Nur', '811199', 182000, 182000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15878, '74020003', '2004', '15878', '20040224', '20040220', '', 'Pegawai', 'RS Siaga Raya', '811199', 292000, 292000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15879, '79030001', '2004', '15879', '20040224', '20040220', '', 'Pegawai', 'dr Kartini', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15880, '70000806', '2004', '15880', '20040224', '20040218', '', 'Pegawai', 'RSPI', '811199', 140000, 140000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15881, '76021234', '2004', '15881', '20040224', '20040218', '', 'Pegawai', 'Aptk Mulya', '811199', 62000, 62000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15882, '63950202', '2004', '15882', '20040224', '20040222', '', 'Pegawai', 'Klink Bukit Cirendeu', '811199', 82000, 82000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15883, '74021263', '2004', '15883', '20040224', '20040223', '', 'Anak I', 'Aptk Jatimakmur', '811199', 269700, 269700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15884, '66930135', '2004', '15884', '20040224', '20040221', 'Titi Erfida SH', 'Isteri', 'RS Puri Cinere', '811199', 288501, 288501, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15885, '17101947', '2004', '15885', '20040224', '20040214', '', 'Isteri', 'RS Hermina', '811199', 670600, 670600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15886, '63920047', '2004', '15886', '20040224', '20040221', '', 'Isteri', 'dr E W Limandibrata', '811199', 320500, 320500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15887, '69970477', '2004', '15887', '20040224', '20040219', '', 'Pegawai', 'Klinik Bhakti Rahayu', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15888, '67920089', '2004', '15888', '20040224', '20040218', 'Fawwaz Aulia Fadhil', 'Anak I', 'RS MMC', '811199', 147700, 147700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15889, '67950172', '2004', '15889', '20040224', '20040218', '', 'Pegawai', 'Aptk Tasha', '811199', 230900, 230900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15890, '69021086', '2004', '15890', '20040226', '20040217', '', 'Anak I', 'RS Mary', '811199', 56500, 56500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15891, '77021067', '2004', '15891', '20040226', '20040220', '', 'Pegawai', 'drg Endang E', '811199', 400000, 400000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15892, '67950203', '2004', '15892', '20040213', '20040209', 'Salsabila Shafira', 'Anak II', 'Klinik Raifa', '811199', 70000, 70000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15893, '70000791', '2004', '15893', '20040213', '20040208', 'Safarina', 'Isteri', 'RS Haji Jakarta', '811199', 122500, 122500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15894, '69960396', '2004', '15894', '20040213', '20040208', 'Dhiwi Susanti', 'Isteri', 'RS Puri Medika', '811199', 501150, 501150, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15895, '68000709', '2004', '15895', '20040213', '20040207', '', 'Isteri', 'RS Hermina', '811199', 234750, 234750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15896, '69021141', '2004', '15896', '20040213', '20040206', '', 'Isteri', 'dr Djoni', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15897, '73000708', '2004', '15897', '20040213', '20040204', '', 'Anak I', 'dr Harry P', '811199', 171400, 171400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15898, '68000752', '2004', '15898', '20040213', '20040207', '', 'Anak II', 'Aptk Aji Waras', '811199', 340800, 340800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15899, '17201001', '2004', '15899', '20040213', '20040207', '', 'Isteri', 'RS Tria Dipa', '811199', 431800, 431800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15900, '66920067', '2004', '15900', '20040213', '20040207', '', 'Anak I', 'dr H Ahmad', '811199', 284100, 284100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15901, '69950209', '2004', '15901', '20040213', '20040205', 'Neneng Lutvia', 'Isteri', 'RS Mitra', '811199', 197500, 197500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15902, '71990660', '2004', '15902', '20040213', '20040129', '', 'Anak I', 'dr H E Monintja', '811199', 177000, 177000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15903, '57930124', '2004', '15903', '20040213', '20040203', 'Henny Soewasti P', 'Isteri', 'dr Pudji Wiyanti', '811199', 396500, 396500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15904, '66970473', '2004', '15904', '20040217', '20040212', '', 'Pegawai', 'dr Faricha', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15905, '67970469', '2004', '15905', '20040217', '20040213', '', 'Pegawai', 'drg Gina', '811199', 550000, 550000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15906, '59021080', '2004', '15906', '20040217', '20040205', '', 'Isteri', 'Mitra Medika', '811199', 50000, 50000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15907, '70950204', '2004', '15907', '20040217', '20040213', 'Rizkiana Lutfi Ardiantari', 'Anak I', 'drg Deravita', '811199', 275000, 275000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15908, '70950370', '2004', '15908', '20040217', '20040209', '', 'Pegawai', 'RS RK Charitas', '811199', 254500, 254500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15909, '16801865', '2004', '15909', '20040217', '20040216', 'Sulami A.', 'Isteri', 'dr Muslim', '811199', 353750, 353750, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15910, '65920033', '2004', '15910', '20040217', '20040213', 'Eti Karyati', 'Isteri', 'dr Suharni', '811199', 172300, 172300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15911, '5540008', '2004', '15911', '20040217', '20040209', '', 'Anak III', 'dr Hindra', '811199', 184400, 184400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15912, '76970457', '2004', '15912', '20040217', '20040210', 'Dimas P.', 'Anak I', 'dr Kurniawan', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15913, '67960411', '2004', '15913', '20040226', '20040219', 'Achmad Rizki Noversi', 'Anak I', 'RB Citra Ananda', '811199', 285200, 285200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15914, '71011018', '2004', '15914', '20040226', '20040224', '', 'Isteri', 'RS Hermina', '811199', 143350, 143350, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15915, '68950371', '2004', '15915', '20040226', '20040221', 'Amarthya', 'Anak I', 'RSIA Permata', '811199', 107000, 107000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15916, '17601989', '2004', '15916', '20040226', '20040224', '', 'Pegawai', 'RB Alvernia Agusta', '811199', 171000, 171000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15917, '77000672', '2004', '15917', '20040226', '20040217', '', 'Pegawai', 'RS Siloam', '811199', 358400, 358400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15918, '72950205', '2004', '15918', '20040226', '20040224', 'Rizqullah Ishaq', 'Anak I', 'RS Tugu Ibu', '811199', 129500, 129500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15919, '65960379', '2004', '15919', '20040226', '20040223', 'Muhammad Kemal Ramadhan', 'Anak I', 'RS MMC', '811199', 276500, 276500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15920, '63970476', '2004', '15920', '20040226', '20040219', '', 'Pegawai', 'RS Mitra Keluarga', '811199', 316600, 316600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15921, '69950178', '2004', '15921', '20040226', '20040225', '', 'Pegawai', 'RS Medistra', '811199', 313390, 313390, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15922, '70970475', '2004', '15922', '20040226', '20040225', '', 'Isteri', 'Aptk Pekayon  Jaya', '811199', 113000, 113000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15923, '72000707', '2004', '15923', '20040226', '20040224', '', 'Anak I', 'dr Tadjuddin', '811199', 750100, 750100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15924, '65930147', '2004', '15924', '20040226', '20040216', 'Kristina Nursanti', 'Isteri', 'RS Yadika', '811199', 260000, 260000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15925, '64970460', '2004', '15925', '20040226', '20040221', '', 'Anak I', 'RS Yadika', '811199', 315500, 254000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15926, '66950220', '2004', '15926', '20040226', '20040221', 'Sri Sayekti', 'Isteri', 'Bidan Indah', '811199', 170000, 170000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15927, '70950370', '2004', '15927', '20040226', '20040219', '', 'Pegawai', 'drg Lukas', '811199', 200000, 200000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15928, '77021433', '2004', '15928', '20040226', '20040224', '', 'Anak I', 'dr Handarmi', '811199', 64940, 64940, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15929, '67950193', '2004', '15929', '20040226', '20040226', '', 'Pegawai', 'Aptk Sejahtera', '811199', 84000, 84000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15930, '69021141', '2004', '15930', '20040226', '20040224', '', 'Anak I', 'Aptk Rini', '811199', 84300, 84300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15931, '76021129', '2004', '15931', '20040226', '20040212', '', 'Pegawai', 'RS Sukanto', '811199', 401500, 401500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15932, '64950184', '2004', '15932', '20040226', '20040217', 'Nadia Astuti', 'Isteri', 'RSB YPK', '811199', 1942800, 1942800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15933, '65920018', '2004', '15933', '20040226', '20040221', 'Aslha', 'Anak III', 'dr Rachmat T', '811199', 316200, 316200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15934, '74990664', '2004', '15934', '20040226', '20040220', '', 'Pegawai', 'Gading Medika', '811199', 136000, 136000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15935, '59021080', '2004', '15935', '20040226', '20040218', '', 'Anak I', 'Aptk Trinitas', '811199', 142500, 142500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15936, '64950219', '2004', '15936', '20040226', '20040224', '', 'Pegawai', 'dr Prasasta', '811199', 308800, 308800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15937, '72099654', '2004', '15937', '20040226', '20040203', '', 'Isteri', 'Aptk Nusantara', '811199', 119050, 119050, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15938, '17201001', '2004', '15938', '20040226', '20040221', '', 'Pegawai', 'Klinik Citra Medika', '811199', 131400, 131400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15939, '17300901', '2004', '15939', '20040226', '20040219', '', 'Anak I', 'RS Hermina', '811199', 210650, 210650, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15940, '74990649', '2004', '15940', '20040226', '20040223', '', 'Pegawai', 'dr Yanuar', '811199', 65500, 65500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15941, '17501895', '2004', '15941', '20040226', '20040224', '', 'Pegawai', 'RS Medika Sampurna', '811199', 528300, 528300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15942, '72010933', '2004', '15942', '20040226', '20040210', '', 'Pegawai', 'dr Suwandi', '811199', 112500, 112500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15943, '76011015', '2004', '15943', '20040226', '20040224', '', 'Pegawai', 'RS Bunda', '811199', 347700, 347700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15944, '74000725', '2004', '15944', '20040226', '20040224', '', 'Pegawai', 'ENT Center', '811199', 205100, 205100, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15945, '61021212', '2004', '15945', '20040226', '20040221', '', 'Anak I', 'dr R Andri', '811199', 181500, 181500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15946, '76990604', '2004', '15946', '20040226', '20040212', '', 'Pegawai', 'dr Ikhsan', '811199', 390000, 390000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15947, '70980570', '2004', '15947', '20040226', '20040219', 'Eer', 'Isteri', 'RS Haji Jakarta', '811199', 194500, 194500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15948, '68920053', '2004', '15948', '20040226', '20040224', 'Hafizh Insan A', 'Anak I', 'RS Hermina', '811199', 255450, 255450, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15949, '81031469', '2004', '15949', '20040226', '20040221', '', 'Pegawai', 'dr Erwin', '811199', 80000, 80000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15950, '60960384', '2004', '15950', '20040226', '20040220', 'Wayan Martini', 'Isteri', 'RS Hermina', '811199', 232000, 232000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15951, '66920029', '2004', '15951', '20040226', '20040210', 'Putri Java Islami Yuntoharjo', 'Anak II', 'RS Graha Medika', '811199', 315000, 315000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15952, '60032087', '2004', '15952', '20040226', '20040204', '', 'Anak I', 'dr Afriyanti', '811199', 555000, 555000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15953, '68920053', '2004', '15953', '20040302', '20040228', 'Hafizh Insan A', 'Anak I', 'dr Nancy', '811199', 199500, 199500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15954, '70970480', '2004', '15954', '20040302', '20040227', '', 'Pegawai', 'RSB YPK', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15955, '68000760', '2004', '15955', '20040302', '20040228', '', 'Pegawai', 'dr Suhandi', '811199', 305000, 305000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15956, '65980564', '2004', '15956', '20040302', '20040225', 'Bagas Juwono Priambodo', 'Anak II', 'RS Hermina', '811199', 385710, 385710, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15957, '81031469', '2004', '15957', '20040302', '20040226', '', 'Pegawai', 'Klinik Pakubowo', '811199', 203000, 203000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15958, '70950183', '2004', '15958', '20040302', '20040227', '', 'Pegawai', 'RS Medistra', '811199', 313200, 313200, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15959, '70990586', '2004', '15959', '20040302', '20040228', '', 'Isteri', 'dr Nenie', '811199', 441000, 441000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15960, '57930124', '2004', '15960', '20040302', '20040217', 'Henny Soewasti P', 'Isteri', 'dr Pudji Wiyanti', '811199', 502300, 502300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15961, '71950212', '2004', '15961', '20040302', '20040226', '', 'Pegawai', 'RS Dharma Nugraha', '811199', 127000, 127000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15962, '67950168', '2004', '15962', '20040302', '20040211', '', 'Pegawai', 'Aptk Mahakam', '811199', 250000, 250000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15963, '61920038', '2004', '15963', '20040302', '20040219', 'Muhammad Raka Dhaneswara Hamidjojo', 'Anak I', 'dr Carlina', '811199', 402000, 402000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15964, '61970468', '2004', '15964', '20040302', '20040229', '', 'Anak I', 'Aptk Titi Murni', '811199', 474500, 474500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15965, '70031507', '2004', '15965', '20040302', '20040301', '', 'Pegawai', 'dr Lukman Hakim', '811199', 90000, 90000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15966, '65920018', '2004', '15966', '20040310', '20040301', 'Irvansyah Firdaus', 'Anak II', 'RS Mitra Int,l', '811199', 243800, 243800, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15967, '73970451', '2004', '15967', '20040302', '20040228', '', 'Pegawai', 'Poliklinik Afiat', '811199', 181300, 181300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15968, '68950371', '2004', '15968', '20040302', '20040227', 'Amarthya', 'Anak I', 'RSB Asih', '811199', 295000, 295000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15969, '62920044', '2004', '15969', '20040302', '20040227', '', 'Anak I', 'RS Mitra Keluarga', '811199', 368600, 368600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15970, '66920067', '2004', '15970', '20040302', '20040221', 'Deny Waty Djaafar', 'Isteri', 'RS Mitra', '811199', 224700, 224700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15971, '63990637', '2004', '15971', '20040302', '20040227', 'Abdul Hadi', 'Anak III', 'RS Budhi Asih', '811199', 188000, 188000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15972, '70000791', '2004', '15972', '20040302', '20040229', 'Safarina', 'Isteri', 'RS Haji Jakarta', '811199', 272900, 272900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15973, '74950356', '2004', '15973', '20040302', '20040228', 'Rendy Santoso', 'Anak I', 'dr Osrizal', '811199', 79900, 79900, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15974, '78031489', '2004', '15974', '20040302', '20040202', '', 'Pegawai', 'dr Feni', '811199', 219500, 219500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15975, '64950171', '2004', '15975', '20040302', '20040228', '', 'Pegawai', 'Klinik Kemanggisan', '811199', 100000, 100000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15976, '61930128', '2004', '15976', '20040302', '20040228', 'A. Retno M', 'Isteri', 'RSPI', '811199', 480000, 480000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15977, '77021433', '2004', '15977', '20040302', '20040227', '', 'Anak I', 'dr Handarmi', '811199', 69000, 69000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15978, '57910014', '2004', '15978', '20040302', '20040226', 'Suwarni', 'Isteri', 'dr Yacob', '811199', 298000, 298000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15979, '70950177', '2004', '15979', '20040302', '20040228', 'Siti Aisah', 'Isteri', 'RS Tumbuh Kembang', '811199', 287500, 287500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15980, '68950221', '2004', '15980', '20040302', '20040228', '', 'Anak II', 'RS Hermina', '811199', 178830, 178830, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15981, '66920106', '2004', '15981', '20040302', '20040228', '', 'Anak I', 'BK Bakti Sejahtera', '811199', 235000, 235000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15982, '77000793', '2004', '15982', '20040302', '20040226', '', 'Pegawai', 'Poliklinik Sigra', '811199', 85000, 85000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15983, '16800732', '2004', '15983', '20040302', '20040226', '', 'Pegawai', 'Poliklinik Adimas', '811199', 40000, 40000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15984, '79031439', '2004', '15984', '20040302', '20040227', '', 'Pegawai', 'RS Medistra', '811199', 359000, 359000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15985, '56950201', '2004', '15985', '20040302', '20040226', '', 'Pegawai', 'dr Yacob', '811199', 89000, 89000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15986, '49920032', '2004', '15986', '20040302', '20040226', 'Suryati', 'Isteri', 'dr Tjandra', '811199', 661300, 661300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15987, '72950205', '2004', '15987', '20040302', '20040228', 'Rizqullah Ishaq', 'Anak I', 'RS Tugu Ibu', '811199', 105500, 105500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15988, '65920018', '2004', '15988', '20040302', '20040226', 'Dwi Purnomowati', 'Isteri', 'Aptk Regina', '811199', 527600, 527600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15989, '76960435', '2004', '15989', '20040302', '20040228', '', 'Isteri', 'RS Siloam', '811199', 276012, 276012, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15990, '60950189', '2004', '15990', '20040302', '20040225', '', 'Pegawai', 'dr Dian', '811199', 382000, 382000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15991, '70010898', '2004', '15991', '20040302', '20040220', 'Anindya F.', 'Anak I', 'dr Rosida', '811199', 803500, 803500, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15992, '72980510', '2004', '15992', '20040302', '20040228', 'M. Nur Muhriza', 'Anak I', 'RS Thamrin', '811199', 419700, 419700, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15993, '69000669', '2004', '15993', '20040302', '20040226', '', 'Anak I', 'drg Daru', '811199', 496300, 496300, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15994, '63920047', '2004', '15994', '20040302', '20040228', '', 'Isteri', 'RS Harapan Indah', '811199', 137980, 137980, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15995, '71960403', '2004', '15995', '20040302', '20040226', '', 'Pegawai', 'drg Endang', '811199', 246000, 246000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15996, '69000669', '2004', '15996', '20040302', '20040301', 'Anylita', 'Isteri', 'RSB Duren Tiga', '811199', 165600, 165600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15997, '72099654', '2004', '15997', '20040302', '20040226', '', 'Pegawai', 'Klinik JMC', '811199', 97400, 97400, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15998, '17700818', '2004', '15998', '20040302', '20040227', '', 'Pegawai', 'dr David Agus', '811199', 95000, 95000, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (15999, '71011018', '2004', '15999', '20040302', '20040229', '', 'Isteri', 'Klinik Ritifa Medika', '811199', 224600, 224600, NULL, NULL, 'A', 'medical')


INSERT INTO [MedicalRestitusiDetail] ([id_trans], [NIK], [Periode], [nomor], [tanggal], [tgl_bayar], [nama_tertanggung], [status_kel], [nama_dokter], [mata_anggaran], [jml_diajukan], [jml_disetujui], [cara_bayar], [Remarks], [status], [DiperiksaBy])
VALUES (16000, '69980544', '2004', '16000', '20040302', '20040224', 'Ramadhani Malik Abdillah', 'Anak I', 'RS Hermina', '811199', 436400, 436400, NULL, NULL, 'A', 'medical')


SET IDENTITY_INSERT [MedicalRestitusiDetail] OFF
";

$q = mssql_query($sql,$conn);
if($q){
	echo"Data Restitusi Pegawai sudah diimport BAGIAN IV ... <br>
	Silahkan hapus file ini, dan tutup browser Anda <br><br>
	
	Terima Kasih
	";
}
?>